Active NPI
Emily Mashburn, MS ED CCC SLP
- Speech-Language Pathologist
- Hood River, OR
National Provider Identifier
1902217201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 13414
- Practice address
- 763 St Charles Place Rd
Hood River, OR 97031-8766 - Phone
- (716) 868-1023
- NPI assigned
- May 8, 2014
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 13414 | OR | Primary |
Addresses
Primary practice location
763 St Charles Place Rd
Hood River, OR 97031-8766
Mailing address
763 St Charles Place Rd
Hood River, OR 97031-8766
Phone (716) 868-1023
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13414 | Other | OR | STATE LICENSE |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13414 | OR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454630400000",
"number": "1902217201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "763 ST CHARLES PLACE RD",
"city": "HOOD RIVER",
"state": "OR",
"postal_code": "970318766",
"telephone_number": "716-868-1023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "763 ST CHARLES PLACE RD",
"city": "HOOD RIVER",
"state": "OR",
"postal_code": "970318766",
"telephone_number": "716-868-1023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASHBURN",
"first_name": "EMILY",
"credential": "MS ED CCC SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-08",
"last_updated": "2016-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OR",
"license": "13414",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "13414",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hood River, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.