Active NPI
Emily Lou Palmer, M.S. CCC-SLP
- Speech-Language Pathologist
- Idaho Falls, ID
National Provider Identifier
1487947628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP-2080
- Practice address
- 927 S Utah Ave
Idaho Falls, ID 83402-3322 - Phone
- (208) 535-1286
- Fax
- (208) 535-1291
- NPI assigned
- May 20, 2011
- 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 | SLP-2080 | ID | Primary |
Addresses
Primary practice location
927 S Utah Ave
Idaho Falls, ID 83402-3322
Mailing address
3331 E Larson Dr
Idaho Falls, ID 83401-5053
Phone (208) 313-0073
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP-2080 | ID | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305849600000",
"number": "1487947628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3331 E LARSON DR",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834015053",
"telephone_number": "208-313-0073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "927 S UTAH AVE",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834023322",
"telephone_number": "208-535-1286",
"fax_number": "208-535-1291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "EMILY",
"middle_name": "LOU",
"name_prefix": "Mrs.",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-20",
"last_updated": "2011-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ID",
"license": "SLP-2080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.