Emily Marie Pegram, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

319 Ferry St
Brookport, IL 62910-2891

Phone

(618) 564-2482

NPI assigned

Aug 19, 2024

Last updated

Aug 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1861224628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 FERRY ST",
            "city": "BROOKPORT",
            "state": "IL",
            "postal_code": "629102891",
            "telephone_number": "618-564-2482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 FERRY ST",
            "city": "BROOKPORT",
            "state": "IL",
            "postal_code": "629102891",
            "telephone_number": "618-564-2482"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8793 Hamletsburg Rd",
            "address_purpose": "LOCATION",
            "city": "Brookport",
            "state": "IL",
            "postal_code": "629102624",
            "country_code": "US",
            "telephone_number": "618-645-1887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEGRAM",
        "first_name": "EMILY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Rebecca Clark, MS CCC-SLP
• David Rhodes (Better Hearing)
• Elaine Grant, LADAC
• Linda Mays Arnp, LLC (The Well of Brookport)
• Tabitha Dawn Morris, HIS
• Michelle Quint, PT
• Rhodes Hearing LLC (Rhodes Centers for Better Hearing)
• Rhodes Hearing LLC
• Caleb Rhodes, HIS
• David Henry Rhodes, CERTIFIED TECHNICIAN

• Speech-Language Pathologist in Brookport, IL
• Providers in Brookport, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.