Active NPI
Emily Dykstra Ma, CCC-SLP Inc.
- Speech-Language Pathologist
- Apopka, FL
National Provider Identifier
1477813129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA7153
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Emily Ellen Dykstra, MA, CCC-SLP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890146500 | Medicaid | FL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Apopka, FL
- NPI 1023094588
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.