Lucille Ann Marie Emmi

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

003153-1 Issued in NY

Practice address

4439 McKinley Pkwy
Hamburg, NY 14075-1040

Phone

(716) 648-3783

NPI assigned

Aug 4, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Lucille Marie Smalt Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280880000000",
    "number": "1063726727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4439 MCKINLEY PKWY",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140751040",
            "telephone_number": "716-648-3783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4439 MCKINLEY PKWY",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140751040",
            "telephone_number": "716-648-3783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMMI",
        "first_name": "LUCILLE",
        "middle_name": "ANN MARIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-04",
        "last_updated": "2010-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "003153-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUCILLE",
            "last_name": "SMALT",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "credential": "MS, CCC; NYS LICENSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sandra Ann Eichner, MS-CCC-SLP
• Elizabeth Newton NP in Psychiatry, PLLC
• Lauren E Ellis, LCSW
• Marie Catherine Ellis
• Catherine C Emmerling, RPH
• Empire Vision Center Inc
• Nicole M Enzinna, D.C., LMT
• Joseph Anthony Eppolito, RPH
• Jane Epstein, LCSW-R
• Eric H. Goodwin MD PC

• Speech-Language Pathologist in Hamburg, NY
• Providers in Hamburg, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; 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.