Individual provider Active NPI

Emily McMurray Walsh, M.A.

  • Speech-Language Pathologist
  • Bloomington, IN
National Provider Identifier
1629467469
Registry record updated Jan 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
10108284 Issued in IN
Practice address
1441 S Fenbrook LN
Suite 400D
Bloomington, IN 47401-4176
Phone
(646) 298-5246
NPI assigned
Jan 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2015

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 10108284 IN Primary

Addresses

Primary practice location

1441 S Fenbrook LN
Suite 400D
Bloomington, IN 47401-4176

Mailing address

1441 S Fenbrook LN
Suite 400D
Bloomington, IN 47401-4176
Phone (646) 298-5246

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 Arts

State licenses

LicenseStateTypeSpecialty
10108284INMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bloomington Pediatric Speech Therapy LLC Speech-Language Pathologist Past Accepting new patients

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": "1421366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421366400000",
    "number": "1629467469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 S FENBROOK LN",
            "address_2": "SUITE 400D",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474014176",
            "telephone_number": "646-298-5246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 S FENBROOK LN",
            "address_2": "SUITE 400D",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474014176",
            "telephone_number": "646-298-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "EMILY",
        "middle_name": "MCMURRAY",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-16",
        "last_updated": "2015-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "10108284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; 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.