Active NPI
Elizabeth G. Bates, SPEECH PATHOLOGIST
- Speech-Language Pathologist
- Ellisville, MO
National Provider Identifier
1063662765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 01525
- Practice address
- 317 Ozark Trail Dr.
Suite 110
Ellisville, MO 63011-5533 - Phone
- (636) 386-8886
- NPI assigned
- Sep 30, 2008
- 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 | 01525 | MO | Primary |
Addresses
Primary practice location
317 Ozark Trail Dr.
Suite 110
Ellisville, MO 63011-5533
Mailing address
317 Ozark Trail Dr.
Suite 110
Ellisville, MO 63011-5533
Phone (636) 386-8886
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222732800000",
"number": "1063662765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 OZARK TRAIL DR.",
"address_2": "SUITE 110",
"city": "ELLISVILLE",
"state": "MO",
"postal_code": "630115533",
"telephone_number": "636-386-8886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 OZARK TRAIL DR.",
"address_2": "SUITE 110",
"city": "ELLISVILLE",
"state": "MO",
"postal_code": "630115533",
"telephone_number": "636-386-8886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATES",
"first_name": "ELIZABETH",
"middle_name": "G.",
"credential": "SPEECH PATHOLOGIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-30",
"last_updated": "2008-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "01525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellisville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.