Individual provider Active NPI

Emily Rose Kuzilla, M.S., CF-SLP

  • Speech-Language Pathologist
  • Cuyahoga Falls, OH
National Provider Identifier
1528648755
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2019987-SP Issued in OH
Practice address
420 Washington Ave
Cuyahoga Falls, OH 44221-2039
Phone
(330) 945-5600
NPI assigned
Apr 12, 2021
Last updated
Apr 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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 2019987-SP OH Primary

Addresses

Primary practice location

420 Washington Ave
Cuyahoga Falls, OH 44221-2039

Mailing address

250 Eaton Ridge Dr Apt 309
Sagamore Hills, OH 44067-4507
Phone (440) 384-9044

Other identifiers 1

IdentifierTypeStateIssuer
COND.2019987-SPMedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address EmilyK@summitesc.org Summit Educational Service Center

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

LicenseStateTypeSpecialty
2019987-SPOHMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1528648755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 EATON RIDGE DR APT 309",
            "city": "SAGAMORE HILLS",
            "state": "OH",
            "postal_code": "440674507",
            "telephone_number": "440-384-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 WASHINGTON AVE",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442212039",
            "telephone_number": "330-945-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUZILLA",
        "first_name": "EMILY",
        "middle_name": "ROSE",
        "credential": "M.S., CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-12",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "2019987-SP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "COND.2019987-SP",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "EmilyK@summitesc.org",
            "affiliation": "Y",
            "endpointDescription": "provider work email",
            "affiliationName": "Summit Educational Service Center",
            "address_1": "420 Washington Ave",
            "city": "Cuyahoga Falls",
            "state": "OH",
            "country_code": "US",
            "postal_code": "442212039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cuyahoga Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.