Individual provider Active NPI

Emily Dionne Shea, CCC-SLP

  • Speech-Language Pathologist
  • Darien, CT
National Provider Identifier
1285372748
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
18.006918 Issued in CT
Practice address
455 Post Rd Ste 202
Darien, CT 06820-3614
Phone
(203) 424-2584
NPI assigned
May 24, 2022
Last updated
May 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 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 18.006918 CT Primary

Addresses

Primary practice location

455 Post Rd Ste 202
Darien, CT 06820-3614

Mailing address

131 6TH Ave
Milford, CT 06460-5350
Phone (203) 747-4847

Other practice location 1

55 Walls Dr Ste 204
Fairfield, CT 06824-5163
Phone (203) 255-3669

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
18.006918CTMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Pediatric Therapy-Fairfield, Inc. Speech-Language Pathologist PastSince May 29, 2022 Accepting new patients
Center for Pediatric Therapy-Fairfield, Inc. Speech-Language Pathologist PastSince May 29, 2022 Accepting new patients

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, 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": "1653350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1285372748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 6TH AVE",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064605350",
            "telephone_number": "203-747-4847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 POST RD STE 202",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068203614",
            "telephone_number": "203-424-2584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Walls Dr Ste 204",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CT",
            "postal_code": "068245163",
            "country_code": "US",
            "telephone_number": "203-255-3669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEA",
        "first_name": "EMILY",
        "middle_name": "DIONNE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-24",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "18.006918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Darien, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.

Verify at the official NPI Registry.