Emily Annette Bradshaw, MHS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

HE 104339 Issued in MO

Practice address

6365 N Whitetail Way
Parkville, MO 64152-8742

Phone

(816) 589-2563

Fax

(816) 526-0152

NPI assigned

Jan 15, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741478400000",
    "number": "1336290519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6365 N WHITETAIL WAY",
            "city": "PARKVILLE",
            "state": "MO",
            "postal_code": "641528742",
            "telephone_number": "816-589-2563",
            "fax_number": "816-526-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6365 N WHITETAIL WAY",
            "city": "PARKVILLE",
            "state": "MO",
            "postal_code": "641528742",
            "telephone_number": "816-589-2563",
            "fax_number": "816-526-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADSHAW",
        "first_name": "EMILY",
        "middle_name": "ANNETTE",
        "name_prefix": "Mrs.",
        "credential": "MHS  CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2025-03-09",
        "certification_date": "2025-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "HE 104339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "463402339",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Edith Betancourt
• Branson Lyle Billings, D.D.S., M.S.D.
• Steven Paul Billings, D.D.S.
• Olivia Booher, LCSW
• Natalie D Braden, MSN FNP-BC
• Sara Katherine Brammer, PH.D.
• Alicia Brand
• Macy Branson, PLPC
• Katelyn Brewer
• Anna Brink

• Speech-Language Pathologist in Parkville, MO
• Providers in Parkville, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2025; 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.