Individual provider Active NPI

Emily Marie Townsend, CCC-SLP

  • Speech-Language Pathologist
  • Palm Coast, FL
National Provider Identifier
1568819381
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA15850 Issued in FL
Practice address
4875 Palm Coast Pkwy NW Unit 2
Palm Coast, FL 32137-3671
Phone
(386) 446-9935
NPI assigned
May 23, 2016
Last updated
Jun 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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 SA15850 FL Primary

Addresses

Primary practice location

4875 Palm Coast Pkwy NW Unit 2
Palm Coast, FL 32137-3671

Mailing address

500 Crowne Loop Apt 126
Ormond Beach, FL 32174-0637

Other practice location 1

3001 Palm Coast Pkwy SE
Palm Coast, FL 32137-8209
Phone (386) 451-7669

Other practice location 2

900 N Swallow Tail Dr Ste 107
Port Orange, FL 32129-6103
Phone (386) 446-9935

Other practice location 3

200 Booth Rd
Ormond Beach, FL 32174-5715
Phone (386) 446-9935

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

State licenses

LicenseStateTypeSpecialty
SA15850FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1568819381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CROWNE LOOP APT 126",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321740637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4875 PALM COAST PKWY NW UNIT 2",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321373671",
            "telephone_number": "386-446-9935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3001 Palm Coast Pkwy SE",
            "address_purpose": "LOCATION",
            "city": "Palm Coast",
            "state": "FL",
            "postal_code": "321378209",
            "country_code": "US",
            "telephone_number": "386-451-7669",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 N Swallow Tail Dr Ste 107",
            "address_purpose": "LOCATION",
            "city": "Port Orange",
            "state": "FL",
            "postal_code": "321296103",
            "country_code": "US",
            "telephone_number": "386-446-9935",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Booth Rd",
            "address_purpose": "LOCATION",
            "city": "Ormond Beach",
            "state": "FL",
            "postal_code": "321745715",
            "country_code": "US",
            "telephone_number": "386-446-9935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOWNSEND",
        "first_name": "EMILY",
        "middle_name": "MARIE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-23",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA15850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; 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.