Individual provider Active NPI

Emily Kristine Latronico-Neithardt, MA CCC-SLP

  • Speech-Language Pathologist
  • Aliso Viejo, CA
National Provider Identifier
1649768151
Registry record updated Apr 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
21896 Issued in CA
Practice address
3 Pursuit
Aliso Viejo, CA 92656-4213
Phone
(949) 389-8500
NPI assigned
Apr 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2018

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 21896 CA Primary

Addresses

Primary practice location

3 Pursuit
Aliso Viejo, CA 92656-4213

Mailing address

117 Tierra Plano
Rancho Santa Margarita, CA 92688-3229
Phone (559) 909-0453

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)
Enrolled
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525046400000",
    "number": "1649768151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 TIERRA PLANO",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926883229",
            "telephone_number": "559-909-0453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 PURSUIT",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926564213",
            "telephone_number": "949-389-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATRONICO-NEITHARDT",
        "first_name": "EMILY",
        "middle_name": "KRISTINE",
        "name_prefix": "Mrs.",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-30",
        "last_updated": "2018-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "21896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aliso Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; 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.