Individual provider Active NPI

Emily Cipolla Desanto, M.S CCC-SLP

  • Speech-Language Pathologist
  • Williamsport, PA
National Provider Identifier
1174338537
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL012394 Issued in PA
Practice address
625 W Edwin St
Williamsport, PA 17701-4909
Phone
(570) 979-4952
NPI assigned
Feb 11, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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 SL012394 PA Primary

Addresses

Primary practice location

625 W Edwin St
Williamsport, PA 17701-4909

Mailing address

440 Jaculin Ave
South Williamsport, PA 17702-7010
Phone (570) 447-7227

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

LicenseStateTypeSpecialty
SL012394PAMDSpeech-Language Pathologist

Interoperability endpoints

  • Direct secure messaging: emily.l.cipolladesanto@upmcdirect.com

NPI Registry JSON

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

{
    "created_epoch": "1739232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1174338537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 JACULIN AVE",
            "city": "SOUTH WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177027010",
            "telephone_number": "570-447-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 W EDWIN ST",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177014909",
            "telephone_number": "570-979-4952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIPOLLA DESANTO",
        "first_name": "EMILY",
        "credential": "M.S CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL012394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsport, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.