Active NPI
Emma Baker
- Speech-Language Pathologist
- Niceville, FL
National Provider Identifier
1831825561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 4565 Commercial Dr Ste 105
Niceville, FL 32578-8856 - Phone
- (850) 353-2415
- Fax
- (850) 353-2528
- NPI assigned
- Jul 26, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
4565 Commercial Dr Ste 105
Niceville, FL 32578-8856
Mailing address
1916 Redwood Ave
Niceville, FL 32578-9500
Phone (318) 787-9995
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shine-Pediatric Therapy Center | Speech-Language Pathologist | Current | Accepting new patients |
| Kidz Korner | Current | Accepting new patients |
Locations
4565 Commercial Dr
Ste 105
Niceville, FL 32578
Phone (850) 353-2415
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Occupational Therapist
- Niceville, FL
- NPI 1568107746
-
- Clinic/Center
- Niceville, FL
- NPI 1932843109
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658966400000",
"number": "1831825561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1916 REDWOOD AVE",
"city": "NICEVILLE",
"state": "FL",
"postal_code": "325789500",
"telephone_number": "318-787-9995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4565 COMMERCIAL DR STE 105",
"city": "NICEVILLE",
"state": "FL",
"postal_code": "325788856",
"telephone_number": "850-353-2415",
"fax_number": "850-353-2528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "EMMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-26",
"last_updated": "2022-07-28",
"certification_date": "2022-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Niceville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.