Individual provider Active NPI

Emily C Eckhardt

  • Speech-Language Pathologist
  • Edwardsville, IL
National Provider Identifier
1831602622
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2016021044 Issued in MO
Practice address
7108 Marine Rd
Edwardsville, IL 62025-4282
Phone
(618) 616-2532
NPI assigned
Nov 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X
Speech-Language Pathologist 235Z00000X 146.013895 IL
Speech-Language Pathologist 235Z00000X 2016021044 MO Primary

Addresses

Primary practice location

7108 Marine Rd
Edwardsville, IL 62025-4282

Mailing address

1335 Strassner Dr
Brentwood, MO 63144-1872

Other practice location 1

605 Coeur De Ville Dr
Creve Coeur, MO 63141-6603
Phone (314) 546-8747

Other names 1

  • Emily C Naumann Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Eeckhardt@empowerme.com Direct EmpowerMe Wellness Kansas City, LLC

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
146.013895ILMDSpeech-Language Pathologist

Interoperability endpoints

  • Direct secure messaging: eeckhardt@empowerme.com

NPI Registry JSON

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

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1831602622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 STRASSNER DR",
            "city": "BRENTWOOD",
            "state": "MO",
            "postal_code": "631441872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7108 MARINE RD",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620254282",
            "telephone_number": "618-616-2532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "605 Coeur De Ville Dr",
            "address_purpose": "LOCATION",
            "city": "Creve Coeur",
            "state": "MO",
            "postal_code": "631416603",
            "country_code": "US",
            "telephone_number": "314-546-8747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ECKHARDT",
        "first_name": "EMILY",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-15",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.013895",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2016021044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Eeckhardt@empowerme.com",
            "affiliation": "Y",
            "endpointDescription": "Work email",
            "affiliationName": "EmpowerMe Wellness Kansas City, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9101 N Ambassador Dr",
            "city": "Kansas City",
            "state": "MO",
            "country_code": "US",
            "postal_code": "641547295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "NAUMANN",
            "middle_name": "C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Edwardsville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.