Active NPI
Emily Poulton, M.S. CCC-SLP
- Speech-Language Pathologist
- Oswego, NY
National Provider Identifier
1033568928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 027093
- Practice address
- 1 Buccaneer Blvd
Oswego, NY 13126 - Phone
- (315) 341-2600
- NPI assigned
- Jun 10, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | |||
| Speech-Language Pathologist | 235Z00000X | 027093 | NY | Primary |
Addresses
Primary practice location
1 Buccaneer Blvd
Oswego, NY 13126
Mailing address
260 Thompson Rd
Oswego, NY 13126-6041
Phone (315) 402-7976
Other practice location 1
159 W 1st St
Oswego, NY 13126-2045
Phone (315) 342-9575
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528243200000",
"number": "1033568928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 THOMPSON RD",
"city": "OSWEGO",
"state": "NY",
"postal_code": "131266041",
"telephone_number": "315-402-7976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BUCCANEER BLVD",
"city": "OSWEGO",
"state": "NY",
"postal_code": "13126",
"telephone_number": "315-341-2600"
}
],
"practiceLocations": [
{
"address_1": "159 W 1st St",
"address_purpose": "LOCATION",
"city": "Oswego",
"state": "NY",
"postal_code": "131262045",
"country_code": "US",
"telephone_number": "315-342-9575",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POULTON",
"first_name": "EMILY",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-10",
"last_updated": "2018-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "027093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oswego, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.