Active NPI
Emilie Brienen, M.S. CCC-SLP
- Speech-Language Pathologist
- Manitowoc, WI
National Provider Identifier
1528668597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5068-154
- Practice address
- 960 S Rapids Rd
Manitowoc, WI 54220-4146 - Phone
- (920) 684-1144
- NPI assigned
- Oct 29, 2020
- Last updated
- Apr 16, 2024
- 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 | 5068-154 | WI | Primary |
Addresses
Primary practice location
960 S Rapids Rd
Manitowoc, WI 54220-4146
Mailing address
960 S Rapids Rd
Manitowoc, WI 54220-4146
Phone (920) 684-1144
Other practice location 1
1 Hamilton Dr
Two Rivers, WI 54241-2335
Phone (920) 793-2261
Other practice location 2
200 N 7th Ave
Sturgeon Bay, WI 54235-1708
Phone (920) 743-6274
Other practice location 3
1308 Lincoln St
Kewaunee, WI 54216-1606
Phone (920) 388-4111
Other names 1
- Emilie Burkhardt
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 |
|---|---|---|---|
| 5068-154 | WI | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713225600000",
"number": "1528668597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "960 S RAPIDS RD",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542204146",
"telephone_number": "920-684-1144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "960 S RAPIDS RD",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542204146",
"telephone_number": "920-684-1144"
}
],
"practiceLocations": [
{
"address_1": "1 Hamilton Dr",
"address_purpose": "LOCATION",
"city": "Two Rivers",
"state": "WI",
"postal_code": "542412335",
"country_code": "US",
"telephone_number": "920-793-2261",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 N 7th Ave",
"address_purpose": "LOCATION",
"city": "Sturgeon Bay",
"state": "WI",
"postal_code": "542351708",
"country_code": "US",
"telephone_number": "920-743-6274",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1308 Lincoln St",
"address_purpose": "LOCATION",
"city": "Kewaunee",
"state": "WI",
"postal_code": "542161606",
"country_code": "US",
"telephone_number": "920-388-4111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRIENEN",
"first_name": "EMILIE",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-29",
"last_updated": "2024-04-16",
"certification_date": "2022-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WI",
"license": "5068-154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EMILIE",
"last_name": "BURKHARDT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Manitowoc, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.