Organization Active NPI

Emily Dykstra Ma, CCC-SLP Inc.

  • Speech-Language Pathologist
  • Apopka, FL
National Provider Identifier
1477813129
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA7153 Issued in FL
Legal business name
EMILY DYKSTRA MA, CCC-SLP INC.
Practice address
3876 Emerald Estates Cir
Apopka, FL 32703-6731
Phone
(407) 928-5378
Fax
(407) 522-8293
NPI assigned
May 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Authorized official

Name
Emily Ellen Dykstra, MA, CCC-SLPNPI 1023094588
Title
Speech Language Pathologist
Phone
(407) 928-5378

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SA7153 FL Primary

Addresses

Primary practice location

3876 Emerald Estates Cir
Apopka, FL 32703-6731

Mailing address

3876 Emerald Estates Cir
Apopka, FL 32703-6731
Phone (407) 928-5378

Other identifiers 1

IdentifierTypeStateIssuer
890146500MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779753600000",
    "number": "1477813129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3876 EMERALD ESTATES CIR",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327036731",
            "telephone_number": "407-928-5378",
            "fax_number": "407-522-8293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3876 EMERALD ESTATES CIR",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327036731",
            "telephone_number": "407-928-5378",
            "fax_number": "407-522-8293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMILY DYKSTRA MA, CCC-SLP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-29",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A",
        "authorized_official_last_name": "DYKSTRA",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "407-928-5378",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA7153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890146500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Apopka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.