Active NPI
Haylee Layne Dudley, M.S. CCC-SLP
- Speech-Language Pathologist
- Troy, ID
National Provider Identifier
1750922381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 61002593
- Practice address
- 4050 Highway 8
Troy, ID 83871-9654 - Phone
- (509) 638-9801
- NPI assigned
- Oct 4, 2019
- Last updated
- Sep 14, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 61002593 | WA | Primary |
Addresses
Primary practice location
4050 Highway 8
Troy, ID 83871-9654
Mailing address
PO Box 95
Deming, WA 98244-0095
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14175027 | Other | WA | AMERICAN SPEECH LANGUAGE HEARING ASSOCIATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61002593 | WA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631577600000",
"number": "1750922381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 95",
"city": "DEMING",
"state": "WA",
"postal_code": "982440095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4050 HIGHWAY 8",
"city": "TROY",
"state": "ID",
"postal_code": "838719654",
"telephone_number": "509-638-9801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUDLEY",
"first_name": "HAYLEE",
"middle_name": "LAYNE",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-04",
"last_updated": "2021-09-14",
"certification_date": "2021-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "61002593",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN SPEECH LANGUAGE HEARING ASSOCIATION",
"identifier": "14175027",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Troy, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.