Individual provider Active NPI

Emma Kate Doll

  • Speech-Language Pathologist
  • Garden City, KS
National Provider Identifier
1023835303
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3994 Issued in KS
Practice address
2735 N Jennie Barker Rd
Garden City, KS 67846-9077
Phone
(620) 275-0291
NPI assigned
Sep 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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 3994 KS Primary

Addresses

Primary practice location

2735 N Jennie Barker Rd
Garden City, KS 67846-9077

Mailing address

2735 N Jennie Barker Rd
Garden City, KS 67846-9077
Phone (620) 275-0291

Other names 1

  • Miss Emma Kate Tull Former name

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

LicenseStateTypeSpecialty
3994KSMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1023835303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2735 N JENNIE BARKER RD",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678469077",
            "telephone_number": "620-275-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2735 N JENNIE BARKER RD",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678469077",
            "telephone_number": "620-275-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLL",
        "first_name": "EMMA",
        "middle_name": "KATE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "3994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMMA",
            "last_name": "TULL",
            "middle_name": "KATE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Garden City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.

Verify at the official NPI Registry.