Active NPI
Emma Desambourg
- Speech-Language Pathologist
- Saint Louis, MO
National Provider Identifier
1285370932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 9835 Manchester Rd
Saint Louis, MO 63119-1243 - Phone
- (314) 968-4710
- NPI assigned
- May 6, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
9835 Manchester Rd
Saint Louis, MO 63119-1243
Mailing address
9835 Manchester Rd
Saint Louis, MO 63119-1243
Phone (314) 968-4710
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Hearing & Speech | Speech-Language Pathologist | Current | Accepting new patients |
| Easter Seals Midwest | Speech-Language Pathologist | Past | Accepting new patients |
Locations
9835 Manchester Rd
Saint Louis, MO 63119
Phone (314) 968-4710
Interoperability endpoints
- emma.desambourg.p1@direct.affiniahealthcare.nextgenshare.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662508800000",
"number": "1285370932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9835 MANCHESTER RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631191243",
"telephone_number": "314-968-4710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9835 MANCHESTER RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631191243",
"telephone_number": "314-968-4710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESAMBOURG",
"first_name": "EMMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-06",
"last_updated": "2022-09-07",
"certification_date": "2022-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.