Kathleen Ann Emerick, B.S.DT – Specialist

Key facts

NPI: 1801001672
Entity type: Individual (NPI type 1)
Primary specialty: Specialist 174400000X
Practice address: 229 N 2ND St
Vandalia, IL 62471-2348
Phone: (618) 780-2725
Fax: (618) 283-2155
NPI assigned: May 14, 2007
Sex: Female
Sole proprietor: Yes

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Specialist	174400000X			Yes

Addresses

Primary practice location

229 N 2ND St
Vandalia, IL 62471-2348

Mailing address

229 N 2ND St
Vandalia, IL 62471-2348
Phone (618) 283-8798

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801001672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 N 2ND ST",
            "city": "VANDALIA",
            "state": "IL",
            "postal_code": "624712348",
            "telephone_number": "618-283-8798",
            "fax_number": "618-283-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 N 2ND ST",
            "city": "VANDALIA",
            "state": "IL",
            "postal_code": "624712348",
            "telephone_number": "618-780-2725",
            "fax_number": "618-283-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMERICK",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "B.S.DT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vandalia, IL

All providers in Vandalia, IL · Specialist in Illinois

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.