Active NPI
Nellie Herring Hudson, MS, CCC,SLP
- Speech-Language Pathologist
- Clinton, NC
National Provider Identifier
1811032055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 932
- Practice address
- 600 Sunset Ave
Clinton, NC 28328-3946 - Phone
- (910) 299-0700
- Fax
- (910) 299-0800
- NPI assigned
- Feb 21, 2007
- 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 | 932 | NC | Primary |
Addresses
Primary practice location
600 Sunset Ave
Clinton, NC 28328-3946
Mailing address
PO Box 1414
Clinton, NC 28329-1414
Phone (910) 299-0700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44344 | Other | NC | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120203000229 | NC | Practitioner - Qualified Speech Language Pathologist | 1850558701 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 932 | NC | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speech and Language Rehabilitation Services, Inc. | Speech-Language Pathologist | Current | Accepting new patients |
Locations
600 Sunset Ave
Clinton, NC 28328
Phone (910) 299-0700
620 College St
Clinton, NC 28328
Phone (910) 299-0700
207A W Main St
Clinton, NC 28328
Phone (910) 299-0700
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Speech-Language Pathologist
- Clinton, NC
- NPI 1891858692
NC, Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811032055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1414",
"city": "CLINTON",
"state": "NC",
"postal_code": "283291414",
"telephone_number": "910-299-0700",
"fax_number": "910-299-0800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 SUNSET AVE",
"city": "CLINTON",
"state": "NC",
"postal_code": "283283946",
"telephone_number": "910-299-0700",
"fax_number": "910-299-0800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSON",
"first_name": "NELLIE",
"middle_name": "HERRING",
"name_prefix": "Mrs.",
"credential": "MS, CCC,SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "932",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "44344",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clinton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.