Tricia Elston, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1041 Issued in WY

Practice address

301 S Fenway St Ste 202
Casper, WY 82601-3053

Phone

(307) 337-2400

NPI assigned

Jun 15, 2020

Sex

Female

Sole proprietor

Yes

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.

• Logos Speech Therapy, Inc.

  • Speech-Language Pathologist
  • Casper, WY
  • NPI 1871061226
  NPD

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 15, 2020.

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1124643275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 DEER RUN",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826016029",
            "telephone_number": "307-259-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S FENWAY ST STE 202",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826013053",
            "telephone_number": "307-337-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSTON",
        "first_name": "TRICIA",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-15",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WY",
            "license": "1041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roxanna R Elliott-Reno, R.N.
• Shelby Elliott
• Kaley Ellis, AU.D
• Sean Frank Ellis, DDS
• Amy Marie Elm, RN
• Julie Elvestad
• Embracing Change Counseling, LLC
• Emergency Medical Physicians PC
• Emergency Medical Physicians PC
• Benjamin Richard Emery, DDS

• All providers in Casper, WY
• Speech-Language Pathologist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.