Emily Isabel Zeller Simon, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

30002802 Issued in NC

Practice address

1211A Ireland Dr
Fayetteville, NC 28304-3372

Phone

(910) 912-2210

Fax

(910) 912-3372

NPI assigned

Jun 22, 2021

Last updated

Oct 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Montgomery Pediatric Physical Therapy Center

  dba MOCO Movement Center

  • Pediatric Physical Therapist
  • Kensington, MD
  • NPI 1639569015
  NPD (past)

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1205405438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211A IRELAND DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043372",
            "telephone_number": "910-912-2210",
            "fax_number": "910-912-3372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211A IRELAND DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043372",
            "telephone_number": "910-912-2210",
            "fax_number": "910-912-3372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "EMILY",
        "middle_name": "ISABEL ZELLER",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "30002802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Simmons
• Leslie Annette Simmons, LPN
• Wanda Faye Simmons, LPTA
• Yee Lam Simmons, RNP
• Cydni Camren Simms
• Jennifer B Simoni, PA
• Yona Simons, RBT
• Simple Home Healthcare (Simply Home Healthcare)
• Simplicitys Finest Community Network
• Simply Home Healthcare

• Speech-Language Pathologist in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.