Individual provider Active NPI

Emily Margaret Smithwick, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Shreveport, LA
National Provider Identifier
1336375070
Registry record updated Jun 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4884 Issued in LA
Practice address
3007 Knight St Ste 200
Shreveport, LA 71105-2525
Phone
(318) 221-8799
Fax
(318) 429-0704
NPI assigned
Jun 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2009

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 4884 LA Primary

Addresses

Primary practice location

3007 Knight St Ste 200
Shreveport, LA 71105-2525

Mailing address

3007 Knight St Ste 200
Shreveport, LA 71105-2525
Phone (318) 221-8799

Other names 1

  • Emily Margaret Peyton Former name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
4884LAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244505600000",
    "number": "1336375070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3007 KNIGHT ST STE 200",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052525",
            "telephone_number": "318-221-8799",
            "fax_number": "318-429-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3007 KNIGHT ST STE 200",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052525",
            "telephone_number": "318-221-8799",
            "fax_number": "318-429-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITHWICK",
        "first_name": "EMILY",
        "middle_name": "MARGARET",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-09",
        "last_updated": "2009-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "4884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "PEYTON",
            "middle_name": "MARGARET",
            "credential": "M.A., CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shreveport, LA

Sources for this page

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

Verify at the official NPI Registry.