Individual provider Active NPI

Emma R Daguanno, MS ED., CCC-SLP

  • Speech-Language Pathologist
  • Guilderland, NY
National Provider Identifier
1215312095
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
025746-1 Issued in NY
Practice address
10 New Karner Rd
Guilderland, NY 12084-9578
Phone
(631) 790-9025
NPI assigned
Jul 22, 2015
Last updated
Apr 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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 NY
Speech-Language Pathologist 235Z00000X 025746-1 NY Primary

Addresses

Primary practice location

10 New Karner Rd
Guilderland, NY 12084-9578

Mailing address

10 New Karner Rd
Guilderland, NY 12084-9578
Phone (631) 790-9025

Other identifiers 1

IdentifierTypeStateIssuer
05269925MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address edaguanno@accesstherapygroup.com

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
025746-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Access Therapy Group PT OT SLP and Psychology Services PLLC Multi-Specialty CurrentSince Dec 1, 2019 Accepting new patients

Locations

515 Moe Rd
Clifton Park, NY 12065
Phone (518) 280-4294

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1215312095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 NEW KARNER RD",
            "city": "GUILDERLAND",
            "state": "NY",
            "postal_code": "120849578",
            "telephone_number": "631-790-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 NEW KARNER RD",
            "city": "GUILDERLAND",
            "state": "NY",
            "postal_code": "120849578",
            "telephone_number": "631-790-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAGUANNO",
        "first_name": "EMMA",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "MS ED., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-22",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "025746-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05269925",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "edaguanno@accesstherapygroup.com",
            "affiliation": "N",
            "address_1": "515 Moe Rd",
            "city": "Clifton Park",
            "state": "NY",
            "country_code": "US",
            "postal_code": "120653821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Guilderland, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; 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.