Active NPI
Madeline Kate Huddleston, SLP ASSISTANT
- Speech-Language Pathologist
- Corsicana, TX
National Provider Identifier
1912479403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 122270
- Practice address
- 3728 S US Highway 287
Corsicana, TX 75109-8960 - Phone
- (903) 874-6315
- Fax
- (903) 874-6315
- NPI assigned
- Dec 20, 2018
- 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 | 122270 | TX | Primary |
Addresses
Primary practice location
3728 S US Highway 287
Corsicana, TX 75109-8960
Mailing address
19241 David Memorial Dr
Shenadoah, TX 77381
Phone (936) 321-8300
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 |
|---|---|---|---|
| 122270 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722902400000",
"number": "1912479403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19241 DAVID MEMORIAL DR",
"city": "SHENADOAH",
"state": "TX",
"postal_code": "77381",
"telephone_number": "936-321-8300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3728 S US HIGHWAY 287",
"city": "CORSICANA",
"state": "TX",
"postal_code": "751098960",
"telephone_number": "903-874-6315",
"fax_number": "903-874-6315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDDLESTON",
"first_name": "MADELINE",
"middle_name": "KATE",
"credential": "SLP ASSISTANT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-20",
"last_updated": "2024-08-06",
"certification_date": "2024-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "122270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corsicana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.