Emily Eversull, M.S.CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3486 Issued in AL

Practice address

203 Amphitheater Rd
Pelham, AL 35124-4302

Phone

(205) 664-9313

Fax

(205) 664-1934

NPI assigned

Jul 16, 2013

Last updated

Oct 1, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arc of Shelby County

  • Early Intervention Provider Agency
  • Pelham, AL
  • NPI 1679915540
  NPD (past)
• The Arc of Shelby County, Inc.

  • Early Intervention Provider Agency
  • Pelham, AL
  • NPI 1215004940
  NPD (past)

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412121600000",
    "number": "1093156291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 AMPHITHEATER RD",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351244302",
            "telephone_number": "205-664-9313",
            "fax_number": "205-664-1934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 AMPHITHEATER RD",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351244302",
            "telephone_number": "205-664-9313",
            "fax_number": "205-664-1934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERSULL",
        "first_name": "EMILY",
        "credential": "M.S.CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-16",
        "last_updated": "2014-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "3486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Epperson, LICSW
• Brian Keith Ergle, AU.D.
• Nasrollah Eslami, MD
• Eunoia Counseling & Consulting LLC.
• Dalton Blake Evans, RBT
• Eyecare Associates, Inc.
• David R Faber II, M.D.
• Family First Vision Care Kentucky
• Joey Danielle Farris, M.S., CCC SLP
• Frances K Fendley

• Speech-Language Pathologist in Pelham, AL
• Providers in Pelham, AL by specialty
• Speech-Language Pathologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; 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.