Emily Paige Mitchell O'Brien, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202008587 Issued in VA

Practice address

5203 Merion Rd
Valrico, FL 33596-8266

Phone

(813) 716-5397

NPI assigned

Aug 12, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Emily Paige Mitchell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1502496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1114442969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6221 HOT SPRING LN",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224073721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5203 MERION RD",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335968266",
            "telephone_number": "813-716-5397"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Jackson St",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224015719",
            "country_code": "US",
            "telephone_number": "540-373-3223",
            "fax_number": "540-371-3753",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Executive Center Pkwy",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224013177",
            "country_code": "US",
            "telephone_number": "813-716-5397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "EMILY",
        "middle_name": "PAIGE MITCHELL",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-12",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA19141",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202008587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "MITCHELL",
            "middle_name": "PAIGE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jean Nicolas
• Justine Alexis Dabuet Nierras, PT
• Julianne North
• Martin Northrop
• Erica Lynn Novatka, APRN
• Mary Ellen O'Brien, SLP-A
• Ethan O'Hearn, PTA
• Kevin Reinier Ochoa Casas, M.S., BCBA
• Cynthia Odukomaiya
• Emmy J. Olson, B.A./SLP-A

• Speech-Language Pathologist in Valrico, FL
• Providers in Valrico, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.