Active NPI
Lydia E Hutto, SPEECH PATHOLOGIST
- Speech-Language Pathologist
- Brunswick, GA
National Provider Identifier
1841452232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP007075
- Practice address
- 2601 Parkwood Dr Ste E
Brunswick, GA 31520-4724 - Phone
- (229) 985-2080
- Fax
- (229) 890-3397
- NPI assigned
- Jun 27, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | SLP007075 | GA | Primary |
Addresses
Primary practice location
2601 Parkwood Dr Ste E
Brunswick, GA 31520-4724
Mailing address
527 Postell Dr
Saint Simons Island, GA 31522-1804
Phone (912) 294-3371
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PCET001328 | Other | GA | SPEECH PATHOLOGY |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP007075 | GA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1841452232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "527 POSTELL DR",
"city": "SAINT SIMONS ISLAND",
"state": "GA",
"postal_code": "315221804",
"telephone_number": "912-294-3371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 PARKWOOD DR STE E",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "315204724",
"telephone_number": "229-985-2080",
"fax_number": "229-890-3397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUTTO",
"first_name": "LYDIA",
"middle_name": "E",
"name_prefix": "Mrs.",
"credential": "SPEECH PATHOLOGIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-27",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP007075",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPEECH PATHOLOGY",
"identifier": "PCET001328",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brunswick, GA
- Chelsea Hurd, FNP-C
- Mallori Rae Hurd, NP
- Carrie Hurley, BCBA
- Jenna Mae Hutchinson, RT(R)
- Sharlisa Danielle Hutson, MD
- Aysha Iftikhar
- John Edwin Imhoff, MD
- In Home Health LLC (ProMedica Hospice (Brunswick))
- In Home Health, LLC (ProMedica Hospice (Brunswick))
- Independent Physical Therapy of Ga, LLC (BenchMark PT)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.