Individual provider Active NPI

Emily Ann Gilsdorf, SLPA

  • Speech-Language Assistant
  • Corvallis, OR
National Provider Identifier
1780431726
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
A0868 Issued in OR
Practice address
33461 SE Peoria Rd
Corvallis, OR 97333-2521
Phone
(541) 704-4025
NPI assigned
May 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X A0868 OR Primary

Addresses

Primary practice location

33461 SE Peoria Rd
Corvallis, OR 97333-2521

Mailing address

2837 SW Western Blvd Apt 107
Corvallis, OR 97333-7602
Phone (541) 377-5220

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
A0868ORMDSpeech-Language Assistant

NPI Registry JSON

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1780431726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2837 SW WESTERN BLVD APT 107",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973337602",
            "telephone_number": "541-377-5220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33461 SE PEORIA RD",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973332521",
            "telephone_number": "541-704-4025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILSDORF",
        "first_name": "EMILY",
        "middle_name": "ANN",
        "credential": "SLPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "OR",
            "license": "A0868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.