Individual provider Active NPI

Emily Roxanna Hornback, M.S., CCC-SLP, BCS-S

  • Speech-Language Pathologist
  • Dallas, NC
National Provider Identifier
1811234214
Registry record updated Jun 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1309111 Issued in NC
Practice address
139 Gibralter Point Rd
Dallas, NC 28034-8678
Phone
(704) 299-1083
NPI assigned
Jan 7, 2013
Last updated
Jun 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 1309111 NC Primary

Addresses

Primary practice location

139 Gibralter Point Rd
Dallas, NC 28034-8678

Mailing address

139 Gibralter Point Rd
Dallas, NC 28034-8678
Phone (704) 299-1083

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210520001407 NC Practitioner - Qualified Speech Language Pathologist 2365841590 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atrium Health Specialty Network IncGroup PAC ID 5193245801, 248 clinicians

Practice addresses (Care Compare)

16455 Statesville Rd
Suite 300
Huntersville, NC 28078-7139
Phone (704) 801-3719

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1309111NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian State University CurrentSince Jul 16, 2024 Accepting new patients
Carolinas Rehabilitation CurrentSince Aug 23, 2025 Accepting new patients
Atrium Health Specialty Network Inc Speech-Language Pathologist CurrentSince Aug 23, 2025 Accepting new patients
Appalachian State University CurrentSince Jul 16, 2024 Accepting new patients
Appalachian State University Speech-Language Pathologist CurrentSince Jul 16, 2024 Accepting new patients

Locations

1179 State Farm Rd
Ste 132
Boone, NC 28607
Phone (828) 262-8658

4525 Cameron Valley Pkwy
Charlotte, NC 28211
Phone (704) 355-5100

16455 Statesville Rd
Ste 300
Huntersville, NC 28078
Phone (704) 801-3719

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1357516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750464000000",
    "number": "1811234214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 GIBRALTER POINT RD",
            "city": "DALLAS",
            "state": "NC",
            "postal_code": "280348678",
            "telephone_number": "704-299-1083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 GIBRALTER POINT RD",
            "city": "DALLAS",
            "state": "NC",
            "postal_code": "280348678",
            "telephone_number": "704-299-1083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNBACK",
        "first_name": "EMILY",
        "middle_name": "ROXANNA",
        "credential": "M.S., CCC-SLP, BCS-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-07",
        "last_updated": "2025-06-21",
        "certification_date": "2025-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "1309111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.