Active NPI
Emily C Eckhardt
- Speech-Language Pathologist
- Edwardsville, IL
National Provider Identifier
1831602622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2016021044
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 146.013895 | IL | MD | Speech-Language Pathologist |
Interoperability endpoints
- 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.