Individual provider Active NPI

Emily Radke Thomas, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Murfreesboro, TN
National Provider Identifier
1710279310
Registry record updated May 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP 0000004119 Issued in TN
Practice address
209 Castlewood Dr Ste B
Murfreesboro, TN 37129-5163
Phone
(615) 898-7461
Fax
(615) 898-7490
NPI assigned
May 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2011

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 SP 0000004119 TN Primary

Addresses

Primary practice location

209 Castlewood Dr Ste B
Murfreesboro, TN 37129-5163

Mailing address

2032 Empress Dr
Apt: C-301
Murfreesboro, TN 37130-1285
Phone (615) 210-3816

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 Arts

State licenses

LicenseStateTypeSpecialty
SP 0000004119TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Murfreesboro City Schools Past Accepting new patients
Bright Beginnings Pediatric Therapy Center Inc. 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1305331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305331200000",
    "number": "1710279310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2032 EMPRESS DR",
            "address_2": "APT: C-301",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371301285",
            "telephone_number": "615-210-3816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 CASTLEWOOD DR STE B",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371295163",
            "telephone_number": "615-898-7461",
            "fax_number": "615-898-7490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "EMILY",
        "middle_name": "RADKE",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-14",
        "last_updated": "2011-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "SP 0000004119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2011; 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.