Individual provider Active NPI

Emily Dalton

  • Speech-Language Pathologist
  • Chesterfield, MO
National Provider Identifier
1083914758
Registry record updated Oct 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2010020250 Issued in MO
Practice address
1809 Clarkson Rd
Chesterfield, MO 63017-5065
Phone
(636) 532-3211
Fax
(636) 532-4560
NPI assigned
Oct 28, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2010

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 2010020250 MO Primary

Addresses

Primary practice location

1809 Clarkson Rd
Chesterfield, MO 63017-5065

Mailing address

151 Birchleaf Dr
Saint Peters, MO 63376-7039
Phone (636) 578-0968

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
2010020250MOMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph Institute for the Deaf Past Accepting new patients
St. Joseph Institute for the Deaf Indiana Service Corporation Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 2

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": "1288224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288224000000",
    "number": "1083914758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 BIRCHLEAF DR",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633767039",
            "telephone_number": "636-578-0968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 CLARKSON RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175065",
            "telephone_number": "636-532-3211",
            "fax_number": "636-532-4560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALTON",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-28",
        "last_updated": "2010-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2010020250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.