Elizabeth Christine Richardson, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

5219 Issued in NC

Practice address

1321 Wynncrest CT
Raleigh, NC 27603-8768

Phone

(919) 358-7089

Fax

(919) 326-2612

NPI assigned

Jan 12, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Children'S Innovative Therapy

  • Speech-Language Pathologist
  • Angler, NC
  • NPI 1750404059
  NPD (past)

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164572871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 WYNNCREST CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276038768",
            "telephone_number": "919-358-7089",
            "fax_number": "919-326-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 WYNNCREST CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276038768",
            "telephone_number": "919-358-7089",
            "fax_number": "919-326-2612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "ELIZABETH",
        "middle_name": "CHRISTINE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "5219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "4600072",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7411702",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7368432",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "B6407",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1279U",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID CBRS",
            "identifier": "8300041K",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ayannah Richardson
• Brooke Richardson, MS, CCC-SLP
• Chad Richardson
• Christin N Richardson, MD
• Christina Hansen Richardson, LMFTA
• John Chadwick Richardson, LPC
• Kathryn Snider Richardson, MSN, FNP-C
• Melanie Katrin Richardson, FNP-BC
• Rashiidah Richardson, LCSW
• Sarah Richardson

• Speech-Language Pathologist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Speech-Language Pathologist in North Carolina

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.