EMERSON BLAKE SMITH (NPI# 1871132100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871132100 |
| Entity Type | Individual |
| Full Name | EMERSON BLAKE SMITH |
| Credential | SLPA |
| Practice Address |
5809 W Vogel Ave Glendale AZ 85302-3123 |
| Practice Telephone | 6237038167 |
| Mailing Telephone | 6237038167 |
| Enumeration Date | 2020-01-03 |
| Last Update Date | 2020-01-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
SLPA12215 | AZ | Speech, Language and Hearing Service Providers |
| N | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063511053 | Emerson Greene Smith | Optometrist | 470 Main Street, Oxford, MA 01540 | 2006-09-22 |
| Street Address |
5809 W VOGEL AVE |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85302-3123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235736190 | Tyler Davis LLC | Psychologist | 8607 N 59th Ave Suite C-6, Glendale, AZ 85302 | 2020-10-05 |
| 1679098420 | Sidney M Kingery | Physical Therapist | 5810 W Peoria Ave, Glendale, AZ 85302 | 2017-08-12 |
| 1255877825 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 5651 W. Harmont Dr, Glendale, AZ 85302 | 2017-01-06 |
| 1346696382 | Megan Mari Byrne | Chiropractor | 8425 N 61st Dr., Glendale, AZ 85302 | 2016-05-09 |
| 1558742007 | Farzan Mojgani | Dentist | 5929 W. Peoria Ave. Suite 101, Glendale, AZ 85302 | 2015-06-10 |
| 1255757308 | Glendale Modern Dentistry, LLP | Dentist | 5143 West Olive Ave, Suite 140, Glendale, AZ 85302 | 2014-03-13 |
| 1518391341 | Crystal Nicole-marie Whitman | Physical Therapy Assistant | 5411 W. Cinnabar Ave., Glendale, AZ 85302 | 2013-08-28 |
| 1013349570 | A New Leaf | Clinic/Center | 8581 N 61st Ave, Building A, Suite 101-102, Glendale, AZ 85302 | 2013-08-06 |
| 1255602439 | Alicia S Fennemore | Specialist/Technologist | 352 E. Camelback Rd., Suite 102, Phoenix, AZ 85302 | 2012-01-20 |
| 1639306731 | Total Medical Care, LLC | Clinic/Center | 5048 W. Northern Avenue, Suite 105, Glendale, AZ 85302 | 2009-06-16 |
| Find all providers in zip 85302 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477179976 | Patricia Enloe | Specialist/Technologist | 5210 W Desert Hills Dr, Glendale, AZ 85304-1984 | 2020-06-19 |
| 1467073312 | Sarah Alicia Wasson | Specialist/Technologist | 4309 W Griswold Rd, Glendale, AZ 85302-6614 | 2020-05-01 |
| 1295368025 | Adam Stanley | Specialist/Technologist | 8769 West Northview Avenue, Glendale, AZ 85305 | 2020-02-20 |
| 1952952996 | Shannon Zozaya | Specialist/Technologist | 6823 W Angela Dr, Glendale, AZ 85308-8433 | 2019-09-20 |
| 1962050138 | Karina Navarrete | Specialist/Technologist | 7418 W. Fleetwood Ln, Glendale, AZ 85303 | 2019-08-29 |
| 1316599277 | Codye Anne Boutin | Specialist/Technologist | 5117 W Pershing Ave, Glendale, AZ 85304-1318 | 2019-07-11 |
| 1275197048 | Carly Cottrell | Specialist/Technologist | 6234 W Behrend Dr Apt 1112, Glendale, AZ 85308-6909 | 2019-04-27 |
| 1104480482 | Cheryl Renie Snyder-roy | Specialist/Technologist | 4441 W Tonto Rd, Glendale, AZ 85308-7329 | 2019-04-23 |
| 1881152411 | Danielle Gandolfo | Specialist/Technologist | 11232 N 65th Ave, Glendale, AZ 85304-3640 | 2019-03-02 |
| 1063991065 | Christine Marie Saint | Specialist/Technologist | 4723 W Evans Dr, Glendale, AZ 85306-4432 | 2018-08-09 |
| Find all providers in GLENDALE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.