Active NPI
Emily Faber, MS, CCC-SLP
- Speech-Language Pathologist
- North Platte, NE
National Provider Identifier
1164829628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 0000917
- Practice address
- 1221 W 17TH St
North Platte, NE 69101-2216 - Phone
- (308) 534-2416
- NPI assigned
- Nov 28, 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 | 0000917 | CO | Primary |
Addresses
Primary practice location
1221 W 17TH St
North Platte, NE 69101-2216
Mailing address
452 W Yampa St
Apt B
Colorado Springs, CO 80905-1017
Phone (215) 872-0246
Other practice location 1
452 W Yampa St
Apt B
Colorado Springs, CO 80905-1017
Phone (215) 872-0246
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14038949 | Other | CO | ASHA |
| 2164 | Other | NE | STATE LICENSE |
Other names 1
- Emily Johnson
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 |
|---|---|---|---|
| 0000917 | CO | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631145600000",
"number": "1164829628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "452 W YAMPA ST",
"address_2": "APT B",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809051017",
"telephone_number": "215-872-0246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 W 17TH ST",
"city": "NORTH PLATTE",
"state": "NE",
"postal_code": "691012216",
"telephone_number": "308-534-2416"
}
],
"practiceLocations": [
{
"address_1": "452 W Yampa St",
"address_2": "Apt B",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809051017",
"country_code": "US",
"telephone_number": "215-872-0246",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FABER",
"first_name": "EMILY",
"credential": "MS, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-28",
"last_updated": "2021-09-09",
"certification_date": "2021-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CO",
"license": "0000917",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHA",
"identifier": "14038949",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "2164",
"state": "NE"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "JOHNSON",
"credential": "MS, CCC-SLP",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in North Platte, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.