Lisa K Hudson

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2004028831 Issued in MO

Practice address

1305 Salem St
Oak Grove R-6 School District
Oak Grove, MO 64075-7044

Phone

(816) 690-4156

Fax

(816) 690-3031

NPI assigned

Aug 21, 2007

Last updated

Feb 19, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Oak Grove R-6 School Distr

  • Local Education Agency (LEA)
  • Oak Grove, MO
  • NPI 1013104694

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235001600000",
    "number": "1891988093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 SALEM ST",
            "city": "OAK GROVE",
            "state": "MO",
            "postal_code": "640757044",
            "telephone_number": "816-690-4156",
            "fax_number": "816-690-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 SALEM ST",
            "address_2": "OAK GROVE R-6 SCHOOL DISTRICT",
            "city": "OAK GROVE",
            "state": "MO",
            "postal_code": "640757044",
            "telephone_number": "816-690-4156",
            "fax_number": "816-690-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "LISA",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-21",
        "last_updated": "2009-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2004028831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evan Canton Hall
• John Thomas Haller, DC
• Shane Landon Hatfield, PHARM.D.
• Susan Y Hausheer, PT
• Arezo Hesaraki, DDS
• Infinity One Mobile Labs LLC
• Pam J Jackson, RPH
• Ashley Lynn Keating, FNP-C
• Sarah Lynn Kostos, PT, DPT
• Kristina Kowalewski

• Speech-Language Pathologist in Oak Grove, MO
• Providers in Oak Grove, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.