Individual provider Active NPI

Emily K Manton

  • Speech-Language Pathologist
  • Greensboro, NC
National Provider Identifier
1427548890
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
12920 Issued in NC
Practice address
1305 W Wendover Ave Ste C
Greensboro, NC 27408-8100
Phone
(336) 279-9008
Fax
(336) 740-9099
NPI assigned
May 11, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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 12920 NC Primary

Addresses

Primary practice location

1305 W Wendover Ave Ste C
Greensboro, NC 27408-8100

Mailing address

6001 Black Willow Dr
Greensboro, NC 27405-8203
Phone (401) 477-0022

Other practice location 1

301 E Wendover Ave Ste 311
Greensboro, NC 27401-1210
Phone (336) 272-6161

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address emanton506490@direct.conehealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220113002046 NC Practitioner - Qualified Speech Language Pathologist 1355733809 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12920NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Cone Physician Services, Inc. CurrentSince Dec 14, 2021 Accepting new patients
Moses Cone Physician Services Inc CurrentSince Dec 14, 2021 Accepting new patients
Moses Cone Physician Services, Inc. Current Accepting new patients

Locations

1103 N Elm St
Ste 300
Greensboro, NC 27401
Phone (336) 271-3331

301 E Wendover Ave
Ste 311
Greensboro, NC 27401
Phone (336) 272-6161

301 E Wendover Ave
Ste 411
Greensboro, NC 27401
Phone (336) 832-3200

Interoperability endpoints

  • Direct secure messaging: emanton506490@direct.conehealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1525996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1427548890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 BLACK WILLOW DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274058203",
            "telephone_number": "401-477-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 W WENDOVER AVE STE C",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274088100",
            "telephone_number": "336-279-9008",
            "fax_number": "336-740-9099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 E Wendover Ave Ste 311",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274011210",
            "country_code": "US",
            "telephone_number": "336-272-6161",
            "fax_number": "336-230-2150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANTON",
        "first_name": "EMILY",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-11",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "12920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emanton506490@direct.conehealth.com",
            "affiliation": "N",
            "endpointDescription": "Cone Health Direct Message",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "301 E Wendover Ave Ste 311",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274011210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.