Individual provider Active NPI

Amy Huddleston, SLP

  • Speech-Language Pathologist
  • Houston, TX
National Provider Identifier
1861927162
Registry record updated Jul 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
112398 Issued in TX
Practice address
3636 W Dallas St
Houston, TX 77019-1704
Phone
(713) 523-3529
Fax
(713) 523-8399
NPI assigned
Apr 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 112398 TX Primary

Addresses

Primary practice location

3636 W Dallas St
Houston, TX 77019-1704

Mailing address

1417 Houston Ave
Houston, TX 77007-6237
Phone (713) 523-3633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200716000478 TX Practitioner - Qualified Speech Language Pathologist 1052735602 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
112398TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Hearing and Speech Speech-Language Pathologist CurrentSince Jul 1, 2020 Accepting new patients

Locations

1417 Houston Ave
Houston, TX 77007
Phone (713) 523-3633

3100 Shenandoah St
Houston, TX 77021
Phone (713) 523-3633

12300 Parc Crest Dr
Ste 166
Stafford, TX 77477
Phone (713) 337-6419

12300 Parc Crest Dr
Stafford, TX 77477

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1861927162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 HOUSTON AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770076237",
            "telephone_number": "713-523-3633",
            "fax_number": "713-523-8399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 W DALLAS ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770191704",
            "telephone_number": "713-523-3529",
            "fax_number": "713-523-8399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDDLESTON",
        "first_name": "AMY",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-24",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "112398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; 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.

Verify at the official NPI Registry.