Emma Kinross

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

17253 Issued in OR

Practice address

465 Elrod Ave
Coos Bay, OR 97420-1532

Phone

(541) 751-7948

NPI assigned

May 8, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Waterfall Clinic Incorporated

  • Federally Qualified Health Center (FQHC)
  • Coos Bay, OR
  • NPI 1669067369
  NPD

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1801586524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 S 5TH ST",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974201204",
            "telephone_number": "512-299-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 ELROD AVE",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974201532",
            "telephone_number": "541-751-7948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINROSS",
        "first_name": "EMMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "17253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walter F Kerwin, M.D.
• Theresa Keys, CRM, PWS
• Donna Chere Kifer
• Bambi King
• William Drawdy King, MD
• Deborah K Kirby
• Riley Kirby
• Gary Allen Kitzrow, O.D.
• Susan Carroll Klemenhagen, RD LD
• Sarah Linley Kleveland

• Speech-Language Pathologist in Coos Bay, OR
• Providers in Coos Bay, OR by specialty
• Speech-Language Pathologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.