Active NPI
Emily Justine Amerson
- Speech-Language Pathologist
- Gainesville, FL
National Provider Identifier
1457521783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 4907 NW 43Rd St Ste C
Gainesville, FL 32606-2007 - Phone
- (352) 372-0047
- Fax
- (352) 372-4701
- NPI assigned
- Mar 3, 2008
- Sex
- Female
- Sole proprietor
- Yes
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
4907 NW 43Rd St Ste C
Gainesville, FL 32606-2007
Mailing address
250 NW 76TH Dr
Gainesville, FL 32607-6668
Phone (352) 505-6363
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 |
|---|---|---|---|
| Acg Therapy Center, Inc | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313712000000",
"number": "1457521783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 NW 76TH DR",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326076668",
"telephone_number": "352-505-6363",
"fax_number": "352-505-6383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4907 NW 43RD ST STE C",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326062007",
"telephone_number": "352-372-0047",
"fax_number": "352-372-4701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMERSON",
"first_name": "EMILY",
"middle_name": "JUSTINE",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-03",
"last_updated": "2011-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.