Emily E O'Connor, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

109853 Issued in TX

Practice address

2011 Broadway St Ste 130
Pearland, TX 77581-5945

Phone

(281) 997-8509

NPI assigned

Apr 27, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Emily Estelle Kolanko Former name

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 and National Provider Directory roles.

• Riverkids Houston Therapy, LLC

  • Home Health Agency
  • Pearland, TX
  • NPI 1780729731
  NPD (past)

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

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524787200000",
    "number": "1134617871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14200 THE LAKES BLVD APT 613",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786603783",
            "telephone_number": "512-777-9863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 BROADWAY ST STE 130",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775815945",
            "telephone_number": "281-997-8509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "EMILY",
        "middle_name": "E",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-27",
        "last_updated": "2018-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "109853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "KOLANKO",
            "middle_name": "ESTELLE",
            "credential": "CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chinyere Nwogbo, FNP-BC
• Edwin Ezenwa Nwokedi, RN
• Adrian Nwosu
• Alfred Nyairo, FNP
• Kristen O'Brien
• Stephen O'Driscoll, OD
• Benjamin O'Neal III, DC
• Madeline O'Neal, M.S., CCC-SLP
• Shannon O'Reilly
• Daniel Chinweuba Obi-Ofodile, M.D

• Speech-Language Pathologist in Pearland, TX
• Providers in Pearland, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; 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.