Active NPI
Emily Mischke
- Speech-Language Pathologist
- Hilo, HI
National Provider Identifier
1720533391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2024033152
- Practice address
- 450 Waianuenue Ave RM 4
Hilo, HI 96720-2521 - Phone
- (816) 686-6716
- NPI assigned
- Aug 23, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | 2016030527 | MO | |
| Speech-Language Pathologist | 235Z00000X | 2024033152 | MO | Primary |
Addresses
Primary practice location
450 Waianuenue Ave RM 4
Hilo, HI 96720-2521
Mailing address
450 Waianuenue Ave RM 4
Hilo, HI 96720-2521
Phone (816) 686-6716
Other practice location 1
1270 Turner St
Clearwater, FL 33756-5921
Phone (727) 443-7639
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22951 | Other | FL | MEDICARE |
| SP-2378 | Medicaid | HI | |
| 962180774 | Medicaid | MO | |
| 962180774 | Other | MO | UNITED HEALTH CRARE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2016030527 | MO | MD | Speech-Language Assistant |
| 2024033152 | MO | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735948800000",
"number": "1720533391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 WAIANUENUE AVE RM 4",
"city": "HILO",
"state": "HI",
"postal_code": "967202521",
"telephone_number": "816-686-6716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 WAIANUENUE AVE RM 4",
"city": "HILO",
"state": "HI",
"postal_code": "967202521",
"telephone_number": "816-686-6716"
}
],
"practiceLocations": [
{
"address_1": "1270 Turner St",
"address_purpose": "LOCATION",
"city": "Clearwater",
"state": "FL",
"postal_code": "337565921",
"country_code": "US",
"telephone_number": "727-443-7639",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MISCHKE",
"first_name": "EMILY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-23",
"last_updated": "2025-01-04",
"certification_date": "2025-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "MO",
"license": "2016030527",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "2024033152",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "22951",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SP-2378",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "962180774",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CRARE",
"identifier": "962180774",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hilo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.