Individual provider Active NPI

Mary-Frances Steagall Emerson, SLP

  • Speech-Language Pathologist
  • Centennial, CO
National Provider Identifier
1053885830
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
.0003277 Issued in CO
Practice address
9137 E Mineral Cir Ste 120
Centennial, CO 80112-3422
Phone
(303) 284-4021
NPI assigned
Jan 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2019

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 .0003277 CO Primary

Addresses

Primary practice location

9137 E Mineral Cir Ste 120
Centennial, CO 80112-3422

Mailing address

1515 Vrain St Apt 223
Denver, CO 80204-1178

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
.0003277COMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Teamup Therapy LLC Speech-Language Pathologist Past Accepting new patients
Jill Tullman & Associates, LLC Speech-Language Pathologist PastSince Aug 2, 2020 Accepting new patients
Jill Tullman & Associates, LLC Speech-Language Pathologist PastSince Aug 2, 2020 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19189/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1053885830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 VRAIN ST APT 223",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802041178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9137 E MINERAL CIR STE 120",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123422",
            "telephone_number": "303-284-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMERSON",
        "first_name": "MARY-FRANCES",
        "middle_name": "STEAGALL",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-15",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": ".0003277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; 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.