Active NPI
Emily Kolis
- Speech-Language Pathologist
- Waxhaw, NC
National Provider Identifier
1447975404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 1229 Toteros Dr
Waxhaw, NC 28173-6950 - Phone
- (704) 649-4509
- Fax
- (704) 843-9045
- NPI assigned
- Oct 11, 2022
- 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 | Primary |
Addresses
Primary practice location
1229 Toteros Dr
Waxhaw, NC 28173-6950
Mailing address
1229 Toteros Dr
Waxhaw, NC 28173-6950
Phone (704) 649-4509
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intrepid Cce Speech LLC | Speech-Language Pathologist | Past | Accepting new patients |
| Milestone Therapy Inc | Speech-Language Pathologist | Past | Accepting new patients |
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.
-
- Speech-Language Pathologist
- Columbus, GA
- NPI 1356040141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665446400000",
"number": "1447975404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1229 TOTEROS DR",
"city": "WAXHAW",
"state": "NC",
"postal_code": "281736950",
"telephone_number": "704-649-4509",
"fax_number": "704-843-9045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1229 TOTEROS DR",
"city": "WAXHAW",
"state": "NC",
"postal_code": "281736950",
"telephone_number": "704-649-4509",
"fax_number": "704-843-9045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLIS",
"first_name": "EMILY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-11",
"last_updated": "2022-10-11",
"certification_date": "2022-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waxhaw, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.