Emma Iddings, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

11784 Issued in OH

Practice address

1199 Delaware Ave
Suite 101
Marion, OH 43302-6475

Phone

(740) 383-2513

NPI assigned

May 11, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Powerback Rehabilitation LLC

  dba Powerback Rehabilitation

  • Physical Therapist
  • Ona, WV
  • NPI 1336858398

  Speech-Language Pathologist

  Medicare reassignment NPD
• Powerback Rehabilitation LLC

  dba Powerback Rehabilitation

  • Physical Therapist
  • Woodbridge, VA
  • NPI 1790640761

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462924800000",
    "number": "1396191193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 BARTLETT ST",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430155033",
            "telephone_number": "517-331-2183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 DELAWARE AVE",
            "address_2": "SUITE 101",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433026475",
            "telephone_number": "740-383-2513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDDINGS",
        "first_name": "EMMA",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-11",
        "last_updated": "2016-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "11784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William S Hurley, RN
• John Hurt
• Autumn Nicole Husted, RN, BSN
• Janeane Allison Husted, CDCA
• David Eugene Hypes, DDS
• Ghulam Idrees, MD
• Lawrence Iles
• Cari Imboden
• Incare Health Solutions LLC (Walk in Urgent Care)
• Marissa Ingram, OTR/L

• Speech-Language Pathologist in Marion, OH
• Providers in Marion, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.