Individual provider Active NPI

Emily Ann Espar

  • Speech-Language Assistant
  • Phoenix, AZ
National Provider Identifier
1205446069
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
SLPA12587 Issued in AZ
Practice address
21630 N 19TH Ave Ste B3
Phoenix, AZ 85027-2717
Phone
(602) 875-5610
NPI assigned
Aug 6, 2020
Reactivated
Jan 17, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 2355S0801X SLPA12587 AZ Primary

Addresses

Primary practice location

21630 N 19TH Ave Ste B3
Phoenix, AZ 85027-2717

Mailing address

112 Garden TRL
Michigan City, IN 46360-2706
Phone (219) 878-3141

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

State licenses

LicenseStateTypeSpecialty
SLPA12587AZMDSpeech-Language Assistant

NPI Registry JSON

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1205446069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 GARDEN TRL",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463602706",
            "telephone_number": "219-878-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21630 N 19TH AVE STE B3",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850272717",
            "telephone_number": "602-875-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPAR",
        "first_name": "EMILY",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-06",
        "last_updated": "2024-01-17",
        "certification_date": "2020-08-06",
        "deactivation_date": "2023-10-24",
        "reactivation_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA12587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.