Active NPI
Emilee Moore Russell, M.A., CF-SLP
- Speech-Language Pathologist
- Somerset, KY
National Provider Identifier
1598456279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 285070
- Practice address
- 200 Tower Cir
Somerset, KY 42503-3480 - Phone
- (606) 416-5139
- NPI assigned
- May 15, 2023
- 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 | 285070 | KY | Primary |
Addresses
Primary practice location
200 Tower Cir
Somerset, KY 42503-3480
Mailing address
313 Clements Ave
Somerset, KY 42501-1819
Phone (606) 802-1008
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 285070 | KY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Exceptional Therapy LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
1050 Chinoe Rd
Ste 350
Lexington, KY 40502
Phone (606) 275-9869
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684108800000",
"number": "1598456279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "313 CLEMENTS AVE",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425011819",
"telephone_number": "606-802-1008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 TOWER CIR",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425033480",
"telephone_number": "606-416-5139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "EMILEE",
"middle_name": "MOORE",
"credential": "M.A., CF-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-15",
"last_updated": "2023-05-15",
"certification_date": "2023-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KY",
"license": "285070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Somerset, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.