Emma Hogrefe, M.A. CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Plain City, OH

NPI 1053988907 · NPPES record last updated Oct 1, 2024

Key facts

NPI
1053988907
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SP.141808 (OH)
Practice address
9200 US Route 42 S
Plain City, OH 43064
Phone
(614) 873-5621
NPI assigned
Jun 9, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SP.141808OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Center for Developmental Enrichment Speech-Language Pathologist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP.141808 OH Yes

Addresses

Primary practice location

9200 US Route 42 S
Plain City, OH 43064

Mailing address

6555 Longshore St Unit 412
Dublin, OH 43017-3078
Phone (614) 949-3413

Other practice location 1

5747 Cleveland Ave
Columbus, OH 43231-2831
Phone (614) 458-1085

Other practice location 2

2655 Oakstone Dr
Columbus, OH 43231-7615
Phone (614) 890-7854

Other names

  • Emma Vander Stoep Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 1, 2024.

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1053988907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6555 LONGSHORE ST UNIT 412",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430173078",
            "telephone_number": "614-949-3413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 US ROUTE 42 S",
            "city": "PLAIN CITY",
            "state": "OH",
            "postal_code": "43064",
            "telephone_number": "614-873-5621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5747 Cleveland Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432312831",
            "country_code": "US",
            "telephone_number": "614-458-1085",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2655 Oakstone Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432317615",
            "country_code": "US",
            "telephone_number": "614-890-7854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOGREFE",
        "first_name": "EMMA",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-09",
        "last_updated": "2024-10-01",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.141808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMMA",
            "last_name": "VANDER STOEP",
            "credential": "M.A. CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plain City, OH

All providers in Plain City, OH · Speech-Language Pathologist in Ohio

Sources for this page

Verify at the official NPI Registry.