Active NPI
Emma Jean Fane, MS, CCC-SLP
- Speech-Language Pathologist
- Oakland, CA
National Provider Identifier
1063191989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 31003
- Practice address
- 233 Orange St Apt 306
Oakland, CA 94610-4103 - Phone
- (510) 396-4595
- NPI assigned
- Jul 17, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 31003 | CA | Primary |
Addresses
Primary practice location
233 Orange St Apt 306
Oakland, CA 94610-4103
Mailing address
233 Orange St Apt 306
Oakland, CA 94610-4103
Phone (510) 396-4595
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": "1689552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689552000000",
"number": "1063191989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "233 ORANGE ST APT 306",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946104103",
"telephone_number": "510-396-4595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "233 ORANGE ST APT 306",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946104103",
"telephone_number": "510-396-4595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FANE",
"first_name": "EMMA",
"middle_name": "JEAN",
"credential": "MS, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-17",
"last_updated": "2023-07-17",
"certification_date": "2023-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "31003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.