Active NPI
Emilie Rose Lowell, M.S., CCC-SLP
- Speech-Language Pathologist
- Brockton, MA
National Provider Identifier
1588187447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 76492
- Practice address
- 940 Belmont St BLDG 3
Brockton, MA 02301-5596 - Phone
- (774) 826-2133
- NPI assigned
- Jul 24, 2017
- Last updated
- Jul 24, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | 76492 | MA | Primary |
Addresses
Primary practice location
940 Belmont St BLDG 3
Brockton, MA 02301-5596
Mailing address
3957 Washington St Apt 3L
Roslindale, MA 02131-1240
Phone (508) 505-8031
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 76492 | Other | MA | MASSACHUSETTS STATE LICENSURE IN SPEECH LANGUAGE PATHOLOGY |
| 14134184 | Other | MA | ASHA CERTIFICATION OF CLINICAL COMPETENCE |
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 |
|---|---|---|---|
| 76492 | MA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500854400000",
"number": "1588187447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3957 WASHINGTON ST APT 3L",
"city": "ROSLINDALE",
"state": "MA",
"postal_code": "021311240",
"telephone_number": "508-505-8031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 BELMONT ST BLDG 3",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023015596",
"telephone_number": "774-826-2133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOWELL",
"first_name": "EMILIE",
"middle_name": "ROSE",
"name_prefix": "Ms.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-24",
"last_updated": "2017-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "76492",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSACHUSETTS STATE LICENSURE IN SPEECH LANGUAGE PATHOLOGY",
"identifier": "76492",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHA CERTIFICATION OF CLINICAL COMPETENCE",
"identifier": "14134184",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.