Emilee Rose Bydlon, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

156730 Issued in AK

Practice address

11901 Business Blvd Ste 209
Eagle River, AK 99577

Phone

(907) 694-6002

NPI assigned

May 23, 2018

Sex

Female

Sole proprietor

No

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

Enrolled in AK

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Family Outreach Center for Understanding Special Needs Inc

  • Social Worker
  • Eagle River, AK
  • NPI 1376620179

  AK

  Medicare reassignment NPD
• Playful Learning Pediatric Therapy, LLC

  • Pediatric Occupational Therapist
  • Eagle River, AK
  • NPI 1407129745
  NPD (past)

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1992296131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18921 ANDREANOF DR",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778641",
            "telephone_number": "907-350-7259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11901 BUSINESS BLVD STE 209",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "99577",
            "telephone_number": "907-694-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYDLON",
        "first_name": "EMILEE",
        "middle_name": "ROSE",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-23",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AK",
            "license": "156730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex O Buness, DC
• Dale F Burke, DDS
• Sheila Mary Burke, L.C.S.W.
• Christine Miyo Burton
• Glen Butts
• Bret Bye
• Cherry Byrd, MS, CCC, SLP
• Stephanie Dawn Cabeza, LMT
• Lee E. Cage, LCSW
• Laurel Elizabeth Cain

• All providers in Eagle River, AK
• Speech-Language Pathologist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.