Active NPI
Emily Wyn Childers, LMT
- Specialist
- Deltona, FL
National Provider Identifier
1841502259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA58910
- Practice address
- 2180 Fireside Rd
Deltona, FL 32738-9557 - Phone
- (352) 321-0332
- NPI assigned
- Jul 14, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | MA58910 | FL | Primary |
Addresses
Primary practice location
2180 Fireside Rd
Deltona, FL 32738-9557
Mailing address
2180 Fireside Rd
Deltona, FL 32738-9557
Phone (352) 321-0332
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA58910 | FL | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279065600000",
"number": "1841502259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2180 FIRESIDE RD",
"city": "DELTONA",
"state": "FL",
"postal_code": "327389557",
"telephone_number": "352-321-0332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2180 FIRESIDE RD",
"city": "DELTONA",
"state": "FL",
"postal_code": "327389557",
"telephone_number": "352-321-0332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHILDERS",
"first_name": "EMILY",
"middle_name": "WYN",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-14",
"last_updated": "2010-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "MA58910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deltona, FL
- Kellie Chandler
- Elisabeth M Chapman
- Keesha Charles, RBT
- Randy L Chaulk, D.C.
- CHI-Rho Family Wellness Chiropractic LLC
- Children's Care Campus, Inc. (Childrenfirst Ppec)
- Choice Meds USA, Inc. (Remote Dispensing Location of Choice Meds USA)
- Choices Family Advocacy
- Choices House Inc
- Choices Residential Group Care Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.