Emiko J Smith, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP12358 Issued in AZ

Practice address

3400 W Massingale Rd
Tucson, AZ 85741-1471

Phone

(520) 579-5000

Fax

(520) 579-5029

NPI assigned

Nov 1, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1604188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604188800000",
    "number": "1669072252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 W MASSINGALE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857411471",
            "telephone_number": "520-579-5000",
            "fax_number": "520-579-5029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 W MASSINGALE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857411471",
            "telephone_number": "520-579-5000",
            "fax_number": "520-579-5029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "EMIKO",
        "middle_name": "J",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-01",
        "last_updated": "2020-11-01",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP12358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZOA DEPARTMENT OF HEALTH SERVICES",
            "identifier": "SLP12358",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dewanna L Smith
• Diane Elizabeth Smith, AU.D.
• Diane Elizabeth Smith, LCSW
• Dori Marie Smith, DMA, MS, CCC-SLP
• Edward Bartlett Smith
• Emily Smith, PAC
• Eric Smith
• Eric Lynn Smith, PHARM.D.
• Eric Reuben Smith, MD, MPH
• Ezra E Smith, PHD

• Speech-Language Pathologist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2020; 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.