Individual provider Active NPI

Emmie Mackenzie Costen Tozier, MS, CF-SLP

  • Speech-Language Pathologist
  • Raleigh, NC
National Provider Identifier
1225608706
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
22032113 Issued in NC
Practice address
1520 Glenwood Ave Ste 201
Raleigh, NC 27608-2264
Phone
(919) 577-6807
NPI assigned
Jun 28, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 22032113 NC Primary

Addresses

Primary practice location

1520 Glenwood Ave Ste 201
Raleigh, NC 27608-2264

Mailing address

141 N Main St
Fuquay Varina, NC 27526-1933
Phone (919) 577-6807

Other identifiers 1

IdentifierTypeStateIssuer
22032113OtherNCTEMPORARY NC SLP LICENSE

Other names 1

  • Emmie Mackenzie Costen Former name

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
22032113NCMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1225608706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 N MAIN ST",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275261933",
            "telephone_number": "919-577-6807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 GLENWOOD AVE STE 201",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276082264",
            "telephone_number": "919-577-6807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOZIER",
        "first_name": "EMMIE",
        "middle_name": "MACKENZIE COSTEN",
        "credential": "MS, CF-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "22032113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEMPORARY NC SLP LICENSE",
            "identifier": "22032113",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMMIE",
            "last_name": "COSTEN",
            "middle_name": "MACKENZIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.