Individual provider Active NPI

Elizabeth Riser Parker, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Kingwood, TX
National Provider Identifier
1124142708
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
19910 Issued in TX
Practice address
1580 Kingwood Dr
Kingwood, TX 77339-3042
Phone
(281) 360-8768
Fax
(281) 358-1520
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 19910 TX Primary

Addresses

Primary practice location

1580 Kingwood Dr
Kingwood, TX 77339-3042

Mailing address

1580 Kingwood Dr
Kingwood, TX 77339-3042
Phone (281) 360-8768

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181218001581 TX Practitioner - Qualified Speech Language Pathologist 0840535928 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Kingwood Speech Pathology Services, PLLC Speech-Language Pathologist CurrentSince Aug 1, 2018 Accepting new patients

Locations

2665 Royal Frst
#B90
Kingwood, TX 77339
Phone (281) 358-0577

2665 Royal Frst
Ste B90
Kingwood, TX 77339
Phone (281) 358-0577

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124142708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 KINGWOOD DR",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773393042",
            "telephone_number": "281-360-8768",
            "fax_number": "281-358-1520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 KINGWOOD DR",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773393042",
            "telephone_number": "281-360-8768",
            "fax_number": "281-358-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "ELIZABETH",
        "middle_name": "RISER",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "19910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.