Individual provider Active NPI

Mary Emanuelson

  • Speech-Language Pathologist
  • Antrim, NH
National Provider Identifier
1689237083
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1904231 Issued in NC
Practice address
45 Old North Branch Rd
Antrim, NH 03440-3513
Phone
(603) 545-2852
NPI assigned
Apr 21, 2019
Last updated
Oct 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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 1904231 NC Primary

Addresses

Primary practice location

45 Old North Branch Rd
Antrim, NH 03440-3513

Mailing address

45 Old North Branch Rd
Antrim, NH 03440-3513

Other practice location 1

184 Mammoth Rd Unit 5
Londonderry, NH 03053-3254
Phone (603) 926-3277

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
1904231NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Little Pines Pediatric Speech Therapy LLC Speech-Language Pathologist Current Accepting new patients
Clearly Speaking LLC 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": "1555804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791936000000",
    "number": "1689237083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 OLD NORTH BRANCH RD",
            "city": "ANTRIM",
            "state": "NH",
            "postal_code": "034403513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 OLD NORTH BRANCH RD",
            "city": "ANTRIM",
            "state": "NH",
            "postal_code": "034403513",
            "telephone_number": "603-545-2852"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "184 Mammoth Rd Unit 5",
            "address_purpose": "LOCATION",
            "city": "Londonderry",
            "state": "NH",
            "postal_code": "030533254",
            "country_code": "US",
            "telephone_number": "603-926-3277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMANUELSON",
        "first_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-21",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "1904231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antrim, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; 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.