Active NPI
Emma Wermuth, M.S., CCC-SLP
- Speech-Language Pathologist
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1104403
- Practice address
- 4131 Spicewood Springs Rd Ste K2
Austin, TX 78759-8600 - Phone
- (512) 200-2792
- Fax
- (877) 331-1021
- NPI assigned
- Aug 11, 2014
- 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 | 1104403 | TX | Primary |
Addresses
Primary practice location
4131 Spicewood Springs Rd Ste K2
Austin, TX 78759-8600
Mailing address
4131 Spicewood Springs Rd Ste K2
Austin, TX 78759-8600
Phone (512) 200-2792
Other practice location 1
125 Rose St Ste 201
Buda, TX 78610-4222
Phone (512) 200-2792
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1104403 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Behavior Therapy | Speech-Language Pathologist | Current | Accepting new patients |
Locations
4131 Spicewood Springs Rd
Ste K2
Austin, TX 78759
Phone (512) 200-2792
125 Rose St
Ste 201
Buda, TX 78610
Phone (512) 200-2792
119 Cimarron Park Loop
Ste A
Buda, TX 78610
Phone (512) 200-2792
Organizations & group practices 1
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": "1407715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703116800000",
"number": "1114336476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4131 SPICEWOOD SPRINGS RD STE K2",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787598600",
"telephone_number": "512-200-2792",
"fax_number": "877-331-1021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4131 SPICEWOOD SPRINGS RD STE K2",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787598600",
"telephone_number": "512-200-2792",
"fax_number": "877-331-1021"
}
],
"practiceLocations": [
{
"address_1": "125 Rose St Ste 201",
"address_purpose": "LOCATION",
"city": "Buda",
"state": "TX",
"postal_code": "786104222",
"country_code": "US",
"telephone_number": "512-200-2792",
"fax_number": "877-331-1021",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WERMUTH",
"first_name": "EMMA",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-11",
"last_updated": "2023-12-21",
"certification_date": "2023-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "1104403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.