Active NPI
Emily A Kieck, SLP
- Speech-Language Pathologist
- Janesville, WI
National Provider Identifier
1447589585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3078-154
- Practice address
- 557 N Washington St
Janesville, WI 53548-2907 - Phone
- (608) 754-6000
- Fax
- (608) 755-7892
- NPI assigned
- Dec 21, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3078-154 | WI | Primary |
Addresses
Primary practice location
557 N Washington St
Janesville, WI 53548-2907
Mailing address
557 N Washington St
Janesville, WI 53548-2907
Phone (608) 754-6000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HOUKEMI | Other | WI | MERCYCARE INSURANCE |
| 1447589585 | Medicaid | WI |
Other names 1
- Emily K Houk
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3078-154 | WI | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health System Corporation | Current | Accepting new patients |
Locations
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
557 N Washington St
Janesville, WI 53548
Phone (608) 754-6000
1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868
519 W Main St
Whitewater, WI 53190
Phone (262) 473-0410
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Janesville, WI
- NPI 1598718603
-
- General Acute Care Hospital
- Janesville, WI
- NPI 1093768962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421107200000",
"number": "1447589585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "557 N WASHINGTON ST",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "535482907",
"telephone_number": "608-754-6000",
"fax_number": "608-755-7892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "557 N WASHINGTON ST",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "535482907",
"telephone_number": "608-754-6000",
"fax_number": "608-755-7892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIECK",
"first_name": "EMILY",
"middle_name": "A",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-21",
"last_updated": "2015-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WI",
"license": "3078-154",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MERCYCARE INSURANCE",
"identifier": "HOUKEMI",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1447589585",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "HOUK",
"middle_name": "K",
"credential": "SLP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Janesville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; 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.