Individual provider Active NPI

Emily Marie Hackman, CCC-SLP

  • Speech-Language Pathologist
  • Fort Thomas, KY
National Provider Identifier
1891490603
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
279179 Issued in KY
Practice address
18 N Fort Thomas Ave Ste 302
Fort Thomas, KY 41075-1595
Phone
(859) 441-0139
NPI assigned
Apr 3, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 279179 KY Primary

Addresses

Primary practice location

18 N Fort Thomas Ave Ste 302
Fort Thomas, KY 41075-1595

Mailing address

27 E 41St St
Covington, KY 41015-1710
Phone (859) 663-5557

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

LicenseStateTypeSpecialty
279179KYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kelly Twehues, LLC Speech-Language Pathologist CurrentSince Apr 9, 2023 Accepting new patients

Locations

18 N Fort Thomas Ave
Ste 302
Fort Thomas, KY 41075
Phone (859) 441-0139

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1891490603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 E 41ST ST",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410151710",
            "telephone_number": "859-663-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 N FORT THOMAS AVE STE 302",
            "city": "FORT THOMAS",
            "state": "KY",
            "postal_code": "410751595",
            "telephone_number": "859-441-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKMAN",
        "first_name": "EMILY",
        "middle_name": "MARIE",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "279179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Thomas, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.