Active NPI
Emma Lorraine Porter, MS
- Speech-Language Pathologist
- McHenry, IL
National Provider Identifier
1184362923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 1011 N Green St
McHenry, IL 60050-5720 - Phone
- (779) 244-1000
- NPI assigned
- May 23, 2022
- Last updated
- Jun 1, 2022
- Sex
- Female
- Sole proprietor
- No
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 | IL | Primary |
Addresses
Primary practice location
1011 N Green St
McHenry, IL 60050-5720
Mailing address
3912 Valley View Rd
Crystal Lake, IL 60012-2104
Phone (815) 271-2574
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 242006477 | Medicaid | IL |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654041600000",
"number": "1184362923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3912 VALLEY VIEW RD",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600122104",
"telephone_number": "815-271-2574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 N GREEN ST",
"city": "MCHENRY",
"state": "IL",
"postal_code": "600505720",
"telephone_number": "779-244-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "EMMA",
"middle_name": "LORRAINE",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-23",
"last_updated": "2022-06-01",
"certification_date": "2022-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "242006477",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McHenry, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.