Individual provider Active NPI

Emily Stanley, M.A. CCC-SLP/IBCLC

  • Lactation Consultant (Non-RN)
  • Georgetown, KY
National Provider Identifier
1184014243
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
L-313176 Issued in KY
Practice address
102 Doe CT
Georgetown, KY 40324-8077
Phone
(765) 748-4452
NPI assigned
Jan 28, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 140375 KY
Lactation Consultant (Non-RN) 174N00000X L-313176 KY Primary

Addresses

Primary practice location

102 Doe CT
Georgetown, KY 40324-8077

Mailing address

102 Doe CT
Georgetown, KY 40324-8077
Phone (765) 748-4452

Other practice location 1

110 Dennis Dr
Lexington, KY 40503-2917
Phone (765) 748-4452

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 Arts

State licenses

LicenseStateTypeSpecialty
L-313176KYMDLactation Consultant (Non-RN)
140375KYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
On the Move Pedatric Therapy PLLC Speech-Language Pathologist PastSince Jan 1, 2013 Accepting new patients
Milk Guide Lactation LLC Lactation Consultant, Non-RN PastSince Aug 3, 2025 Accepting new patients

Organizations & group practices 2

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": "1422403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1184014243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 DOE CT",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403248077",
            "telephone_number": "765-748-4452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 DOE CT",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403248077",
            "telephone_number": "765-748-4452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Dennis Dr",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405032917",
            "country_code": "US",
            "telephone_number": "765-748-4452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "EMILY",
        "credential": "M.A. CCC-SLP/IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-28",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "140375",
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "KY",
            "license": "L-313176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.