Emerson Blake Smith, SLPA

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SLPA12215 Issued in AZ

Practice address

5809 W Vogel Ave
Glendale, AZ 85302-3123

Phone

(623) 703-8167

NPI assigned

Jan 3, 2020

Last updated

Jan 3, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1578009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578009600000",
    "number": "1871132100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5809 W VOGEL AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853023123",
            "telephone_number": "623-703-8167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5809 W VOGEL AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853023123",
            "telephone_number": "623-703-8167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "EMERSON",
        "middle_name": "BLAKE",
        "credential": "SLPA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-03",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA12215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah E Smith, RD
• Debra Kay Hines Smith, PA
• Denise J Smith, MD
• Diamond Smith, BCBA, LBA
• Donnel Tre Lee Smith
• Freddie Smith
• Gary A Smith, DDS
• Geneva Gertrude Smith, A.C.N.P.
• Hannah Smith
• Jami Ann Smith

• Speech-Language Assistant in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Speech-Language Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; 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.