Individual provider Active NPI

Emily Violet Mortner

  • Speech-Language Pathologist
  • Burlington, VT
National Provider Identifier
1275268757
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
144.0134219 Issued in VT
Practice address
90 N Winooski Ave Apt 4
Burlington, VT 05401-3748
Phone
(203) 644-7632
NPI assigned
Jul 19, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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 144.0134219 VT Primary

Addresses

Primary practice location

90 N Winooski Ave Apt 4
Burlington, VT 05401-3748

Mailing address

90 N Winooski Ave Apt 4
Burlington, VT 05401-3748
Phone (203) 644-7632

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL emortner@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230106000961 VT Practitioner - Qualified Speech Language Pathologist 1052781168 Practice locations: Burlington, VT

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Burlington, VT 05401
Phone (203) 644-7632

90 N Winooski Ave Apt
Suite 4
Burlington, VT 05401-3748

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1275268757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 N WINOOSKI AVE APT 4",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054013748",
            "telephone_number": "203-644-7632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 N WINOOSKI AVE APT 4",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054013748",
            "telephone_number": "203-644-7632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTNER",
        "first_name": "EMILY",
        "middle_name": "VIOLET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VT",
            "license": "144.0134219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "emortner@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "none",
            "address_1": "90 N Winooski Ave Apt 4",
            "city": "Burlington",
            "state": "VT",
            "country_code": "US",
            "postal_code": "054013748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.