Individual provider Active NPI

Emily Roberson

  • Speech-Language Pathologist
  • Chesterfield, MO
National Provider Identifier
1104582758
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2021029255 Issued in MO
Practice address
224 S Woods Mill Rd Ste 640S
Chesterfield, MO 63017-3617
Phone
(314) 576-2080
NPI assigned
Nov 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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 2021029255 MO Primary

Addresses

Primary practice location

224 S Woods Mill Rd Ste 640S
Chesterfield, MO 63017-3617

Mailing address

224 S Woods Mill Rd Ste 640S
Chesterfield, MO 63017-3617
Phone (314) 576-2080

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address emily.roberson@ssmhealth.com

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2021029255MOMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1104582758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 S WOODS MILL RD STE 640S",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173617",
            "telephone_number": "314-576-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 S WOODS MILL RD STE 640S",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173617",
            "telephone_number": "314-576-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-09",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2021029255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emily.roberson@ssmhealth.com",
            "affiliation": "N",
            "address_1": "224 S Woods Mill Rd Ste 640S",
            "city": "Chesterfield",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630173617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Nov 9, 2021; 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.