Individual provider Active NPI

Emily Stachler, M.C.D., CCC-SLP

  • Speech-Language Pathologist
  • Madison, AL
National Provider Identifier
1649830365
Registry record updated Jan 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4895 Issued in AL
Practice address
103 Intercom Dr
Madison, AL 35758-2640
Phone
(256) 464-9464
NPI assigned
Jun 14, 2019
Last updated
Jan 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 4895 AL Primary
Speech-Language Pathologist 235Z00000X SA17147 FL

Addresses

Primary practice location

103 Intercom Dr
Madison, AL 35758-2640

Mailing address

103 Intercom Dr
Madison, AL 35758-2640
Phone (256) 464-9464

Other practice location 1

7552 Navarre Pkwy Unit 32
Navarre, FL 32566-7308
Phone (850) 939-3944

Other names 1

  • Emily Zoladz Former name

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
4895ALMDSpeech-Language Pathologist
SA17147FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Madison Speech LLC Speech-Language Pathologist PastSince Mar 1, 2020 Accepting new patients
Madison Speech Associates, Inc Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673740800000",
    "number": "1649830365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 INTERCOM DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582640",
            "telephone_number": "256-464-9464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 INTERCOM DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582640",
            "telephone_number": "256-464-9464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7552 Navarre Pkwy Unit 32",
            "address_purpose": "LOCATION",
            "city": "Navarre",
            "state": "FL",
            "postal_code": "325667308",
            "country_code": "US",
            "telephone_number": "850-939-3944",
            "fax_number": "850-939-3945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STACHLER",
        "first_name": "EMILY",
        "credential": "M.C.D., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-14",
        "last_updated": "2023-01-15",
        "certification_date": "2023-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "4895",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA17147",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "ZOLADZ",
            "credential": "M.C.D., CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2023; 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.