Individual provider Active NPI

Emily H M Shultz, MS, CCC-SLP

  • Speech-Language Pathologist
  • Kent, WA
National Provider Identifier
1699026732
Registry record updated Sep 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL60172772 Issued in WA
Practice address
25621 140TH Ave SE
Kent School District, Meridian Elementary
Kent, WA 98042-3601
Phone
(253) 373-3130
NPI assigned
Sep 28, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2012

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 LL60172772 WA Primary

Addresses

Primary practice location

25621 140TH Ave SE
Kent School District, Meridian Elementary
Kent, WA 98042-3601

Mailing address

25621 140TH Ave SE
Kent School District, Meridian Elementary
Kent, WA 98042-3601
Phone (253) 373-3130

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

LicenseStateTypeSpecialty
LL60172772WAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1348790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348790400000",
    "number": "1699026732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25621 140TH AVE SE",
            "address_2": "KENT SCHOOL DISTRICT, MERIDIAN ELEMENTARY",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980423601",
            "telephone_number": "253-373-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25621 140TH AVE SE",
            "address_2": "KENT SCHOOL DISTRICT, MERIDIAN ELEMENTARY",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980423601",
            "telephone_number": "253-373-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULTZ",
        "first_name": "EMILY",
        "middle_name": "H M",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-28",
        "last_updated": "2012-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL60172772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; 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.