Active NPI
Stacy Emack, M.S., CCC-SLP
- Speech-Language Pathologist
- Falmouth, ME
National Provider Identifier
1760555486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP 1082
- Practice address
- 15 Hammond Rd
Falmouth, ME 04105-1909 - Phone
- (207) 518-9070
- Fax
- (207) 518-9070
- NPI assigned
- Nov 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP 1082 | ME | Primary |
Addresses
Primary practice location
15 Hammond Rd
Falmouth, ME 04105-1909
Mailing address
15 Hammond Rd
Falmouth, ME 04105-1909
Phone (207) 518-9070
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
| License | State | Type | Specialty |
|---|---|---|---|
| SP 1082 | ME | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375401600000",
"number": "1760555486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 HAMMOND RD",
"city": "FALMOUTH",
"state": "ME",
"postal_code": "041051909",
"telephone_number": "207-518-9070",
"fax_number": "207-518-9070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 HAMMOND RD",
"city": "FALMOUTH",
"state": "ME",
"postal_code": "041051909",
"telephone_number": "207-518-9070",
"fax_number": "207-518-9070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMACK",
"first_name": "STACY",
"name_prefix": "Ms.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-17",
"last_updated": "2013-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ME",
"license": "SP 1082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Falmouth, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.