Individual provider Active NPI

Emily Whitlow Carl, M.S./CCC-SLP

  • Speech-Language Pathologist
  • Chesapeake, VA
National Provider Identifier
1356529143
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202005428 Issued in VA
Practice address
3216 Meadowbrook LN
Chesapeake, VA 23321-5440
Phone
(757) 651-1137
NPI assigned
Feb 5, 2008
Last updated
Jan 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X
Speech-Language Pathologist 235Z00000X 2202005428 VA Primary

Addresses

Primary practice location

3216 Meadowbrook LN
Chesapeake, VA 23321-5440

Mailing address

6304 Coachman Dr N
Suffolk, VA 23435-3028
Phone (757) 295-6698

Other practice location 1

2727 Electric Rd
Suite 104
Roanoke, VA 24018-3547
Phone (540) 961-1230

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2202005428VAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Play to Grow PLLC Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

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": "1202169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1356529143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6304 COACHMAN DR N",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353028",
            "telephone_number": "757-295-6698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3216 MEADOWBROOK LN",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215440",
            "telephone_number": "757-651-1137"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2727 Electric Rd",
            "address_2": "Suite 104",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240183547",
            "country_code": "US",
            "telephone_number": "540-961-1230",
            "fax_number": "540-951-0613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARL",
        "first_name": "EMILY",
        "middle_name": "WHITLOW",
        "credential": "M.S./CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-05",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202005428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.