Active NPI
Emily Nelson, ST
- Speech-Language Pathologist
- Wilson, NC
National Provider Identifier
1487059788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5650
- Practice address
- 1811 Forest Hills Rd W
Wilson, NC 27893-3412 - Phone
- (252) 243-7400
- Fax
- (252) 243-3291
- NPI assigned
- Oct 29, 2014
- 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 | 5650 | NC | Primary |
Addresses
Primary practice location
1811 Forest Hills Rd W
Wilson, NC 27893-3412
Mailing address
1811 Forest Hills Rd W
Wilson, NC 27893-3412
Phone (252) 243-7400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5650 | Other | NC | LISCENSE NUMBER |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5650 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paragon Outpatient Rehabilitation Services, LLC | Current | Accepting new patients | |
| Paragon Outpatient Rehabilitation Services, LLC | Current | Accepting new patients | |
| Comprehensive Rehab of Wilson, Inc. | Past | Accepting new patients |
Locations
2605 Swallow Rd
Rm 201
Reidsville, NC 27320
Phone (704) 251-2602
Organizations & group practices 3
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.
-
- Rehabilitation Clinic/Center
- Roxboro, NC
- NPI 1245014380
-
- Rehabilitation Clinic/Center
- Louisville, KY
- NPI 1871867325
-
- Physical Therapist
- Wilson, NC
- NPI 1861450884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414540800000",
"number": "1487059788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1811 FOREST HILLS RD W",
"city": "WILSON",
"state": "NC",
"postal_code": "278933412",
"telephone_number": "252-243-7400",
"fax_number": "252-243-3291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1811 FOREST HILLS RD W",
"city": "WILSON",
"state": "NC",
"postal_code": "278933412",
"telephone_number": "252-243-7400",
"fax_number": "252-243-3291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "EMILY",
"name_prefix": "Ms.",
"credential": "ST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-29",
"last_updated": "2014-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "5650",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LISCENSE NUMBER",
"identifier": "5650",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.