Active NPI
Diane Catherine Hudak
- Speech-Language Pathologist
- West Grove, PA
National Provider Identifier
1881809887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 00645499
- Practice address
- 1015 W Baltimore Pike
West Grove, PA 19390-9459 - Phone
- (610) 869-1728
- Fax
- (610) 444-5614
- NPI assigned
- May 12, 2007
- 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 | 00645499 | PA | Primary |
Addresses
Primary practice location
1015 W Baltimore Pike
West Grove, PA 19390-9459
Mailing address
280 Longview LN
Kennett Square, PA 19348-1752
Phone (610) 444-5614
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
8 McKean Cir
West Grove, PA 19390-9760
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00645499 | PA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simpson Therapy Services, LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
150 Monument Rd
Ste 202
Bala Cynwyd, PA 19004
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.
-
- Physical Therapist
- Downingtown, PA
- NPI 1093444937
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429660800000",
"number": "1881809887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 LONGVIEW LN",
"city": "KENNETT SQUARE",
"state": "PA",
"postal_code": "193481752",
"telephone_number": "610-444-5614",
"fax_number": "610-444-1544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 W BALTIMORE PIKE",
"city": "WEST GROVE",
"state": "PA",
"postal_code": "193909459",
"telephone_number": "610-869-1728",
"fax_number": "610-444-5614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDAK",
"first_name": "DIANE",
"middle_name": "CATHERINE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-12",
"last_updated": "2015-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "00645499",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Grove, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.