Active NPI
Emily R Peters, MS CCC-SLP
- Speech-Language Pathologist
- Osceloa, IN
National Provider Identifier
1992437792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 22007795A
- Practice address
- 1415 LWW
Ste. M.
Osceloa, IN 46561 - Phone
- (574) 675-7767
- NPI assigned
- Jun 29, 2022
- Last updated
- Jun 29, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 22007795A | IN | Primary |
Addresses
Primary practice location
1415 LWW
Ste. M.
Osceloa, IN 46561
Mailing address
4211 Governors Blvd Apt G
South Bend, IN 46637-4020
Phone (219) 688-5415
Other names 1
- Ms. Emily R Peters
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 |
|---|---|---|---|
| 22007795A | IN | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656460800000",
"number": "1992437792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4211 GOVERNORS BLVD APT G",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466374020",
"telephone_number": "219-688-5415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 LWW",
"address_2": "STE. M.",
"city": "OSCELOA",
"state": "IN",
"postal_code": "46561",
"telephone_number": "574-675-7767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "EMILY",
"middle_name": "R",
"credential": "MS CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-29",
"last_updated": "2022-06-29",
"certification_date": "2022-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IN",
"license": "22007795A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "PETERS",
"middle_name": "R",
"prefix": "MS.",
"credential": "MS CCC-SLP",
"code": "2",
"type": "Professional Name"
}
]
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.