Emily E Aanrud, MS/CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Marengo, IA
NPI 1659633741 · NPPES record last updated Oct 14, 2014
Key facts
- NPI
- 1659633741
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 002231 (IA)
- Practice address
- 300 W May St
Marengo, IA 52301-1261 - Phone
- (319) 642-8040
- Fax
- (319) 642-8003
- NPI assigned
- Jun 13, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161208001260 | IA | Practitioner - Qualified Speech Language Pathologist | 3971883943 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002231 | IA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowerme Asl, LLC | Speech-Language Pathologist | Current |
Accepting new patients |
| Empowerme Asl, LLC | Current |
Accepting new patients |
Locations
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 002231 | IA | Yes |
Addresses
Primary practice location
300 W May St
Marengo, IA 52301-1261
Mailing address
403 Hampton Dr
Williamsburg, IA 52361-9718
Phone (319) 361-7598
Other providers in Marengo, IA
All providers in Marengo, IA · Speech-Language Pathologist in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.