Active NPI
Emily Pfister
- Speech-Language Pathologist
- Lebanon, IN
National Provider Identifier
1316175318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 46001935A
- Practice address
- 2605 N Lebanon St
Rehab Services
Lebanon, IN 46052-1476 - Phone
- (765) 485-8999
- Fax
- (765) 485-8998
- NPI assigned
- Jun 29, 2009
- 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 | 46001935A | IN | Primary |
Addresses
Primary practice location
2605 N Lebanon St
Rehab Services
Lebanon, IN 46052-1476
Mailing address
2605 N Lebanon St
Rehab Services
Lebanon, IN 46052-1476
Phone (765) 485-8999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200714470A | Medicaid | IN |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 46001935A | IN | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246233600000",
"number": "1316175318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2605 N LEBANON ST",
"address_2": "REHAB SERVICES",
"city": "LEBANON",
"state": "IN",
"postal_code": "460521476",
"telephone_number": "765-485-8999",
"fax_number": "765-485-8998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2605 N LEBANON ST",
"address_2": "REHAB SERVICES",
"city": "LEBANON",
"state": "IN",
"postal_code": "460521476",
"telephone_number": "765-485-8999",
"fax_number": "765-485-8998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PFISTER",
"first_name": "EMILY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-29",
"last_updated": "2009-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IN",
"license": "46001935A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200714470A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.