Individual provider Active NPI

Emily Jane Clontz, MA/CCC-SLP

  • Speech-Language Pathologist
  • Wilmington, NC
National Provider Identifier
1518134253
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6955 Issued in NC
Practice address
3802 Princess Place Dr
Wilmington, NC 28405-3226
Phone
(910) 343-4245
NPI assigned
May 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 6955 NC Primary

Addresses

Primary practice location

3802 Princess Place Dr
Wilmington, NC 28405-3226

Mailing address

PO Box 7382
Wilmington, NC 28406-7382
Phone (910) 233-8823

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 Arts

State licenses

LicenseStateTypeSpecialty
6955NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Child Development 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": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210550400000",
    "number": "1518134253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7382",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284067382",
            "telephone_number": "910-233-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 PRINCESS PLACE DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284053226",
            "telephone_number": "910-343-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLONTZ",
        "first_name": "EMILY",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "MA/CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "6955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; 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.