Active NPI
Laura Elizabeth Emerson, M.S. CCC-SLP
- Speech-Language Pathologist
- Berlin, MD
National Provider Identifier
1659826816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- O1-0001568
- Practice address
- 9715 Healthway Dr
Berlin, MD 21811 - Phone
- (410) 641-4400
- NPI assigned
- Aug 17, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 07472 | MD | |
| Speech-Language Pathologist | 235Z00000X | 27058 | CA | |
| Speech-Language Pathologist | 235Z00000X | O1-0001568 | DE | Primary |
Addresses
Primary practice location
9715 Healthway Dr
Berlin, MD 21811
Mailing address
9207 Rusty Anchor Rd Unit 17a
Ocean City, MD 21842-4950
Phone (908) 461-1887
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27058 | CA | MD | Oral and Maxillofacial Surgery (Dentist) |
| O1-0001568 | DE | MD | Speech-Language Pathologist |
| 07472 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536796800000",
"number": "1659826816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9207 RUSTY ANCHOR RD UNIT 17A",
"city": "OCEAN CITY",
"state": "MD",
"postal_code": "218424950",
"telephone_number": "908-461-1887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9715 HEALTHWAY DR",
"city": "BERLIN",
"state": "MD",
"postal_code": "21811",
"telephone_number": "410-641-4400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMERSON",
"first_name": "LAURA",
"middle_name": "ELIZABETH",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-17",
"last_updated": "2018-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "07472",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "27058",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "DE",
"license": "O1-0001568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berlin, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.