Individual provider Active NPI

Emma Kristine Bailey, MS

  • Speech-Language Pathologist
  • Camden, ME
National Provider Identifier
1659056463
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
ST3915 Issued in ME
Practice address
30 Community Dr
Camden, ME 04843-2061
Phone
(207) 301-6100
NPI assigned
Jun 19, 2023
Last updated
Jun 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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 ST3915 ME Primary

Addresses

Primary practice location

30 Community Dr
Camden, ME 04843-2061

Mailing address

58 Broadway
Rockland, ME 04841-2616
Phone (570) 238-6900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230711002841 ME Practitioner - Qualified Speech Language Pathologist 1951760792 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
ST3915MEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Therapy Outpatient Services of Me, LLC Speech-Language Pathologist CurrentSince May 29, 2023 Accepting new patients
Preferred Therapy Outpatient Services of Me, LLC Speech-Language Pathologist CurrentSince May 29, 2023 Accepting new patients

Locations

850 Silas Deane Hwy
Fl 2
Wethersfield, CT 06109
Phone (860) 610-0400

30 Community Dr
Camden, ME 04843
Phone (207) 230-6100

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": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1659056463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 BROADWAY",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "048412616",
            "telephone_number": "570-238-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 COMMUNITY DR",
            "city": "CAMDEN",
            "state": "ME",
            "postal_code": "048432061",
            "telephone_number": "207-301-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "EMMA",
        "middle_name": "KRISTINE",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "ST3915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.

Verify at the official NPI Registry.