Emily Ebbeskotte

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP.12951 Issued in OH

Practice address

1100 Shawnee Rd
Lima, OH 45805-3529

Phone

(419) 999-2010

Fax

(419) 999-6284

NPI assigned

Jun 20, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Emily Fought Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1538689658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SHAWNEE RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458053583",
            "telephone_number": "419-999-2010",
            "fax_number": "419-999-6284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SHAWNEE RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458053529",
            "telephone_number": "419-999-2010",
            "fax_number": "419-999-6284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBBESKOTTE",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-20",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.12951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0413432",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "FOUGHT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Deb Dyer, LISW
• Ear Nose and Throat Specialists of West Central Ohio
• Early Detection Imaging, LLC
• Jonathan T Eaton, PA, AT
• Taylor Marie Eaton, CNP
• Jamie Lynn Ebbeskotte, DPT
• Kristen Lee Ebbeskotte
• Joshua Michael Ebbing, PHARMD
• Chelsea Ebert, PHARMD
• Jeremy Alan Ebert, PHARMD

• Speech-Language Pathologist in Lima, OH
• Providers in Lima, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.