Individual provider Active NPI

Misty Elsby, CCC-SLP

  • Speech-Language Pathologist
  • Oro Valley, AZ
National Provider Identifier
1184124208
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
111511 Issued in TX
Practice address
9045 N Shadow Mountain Dr
Oro Valley, AZ 85704-6758
Phone
(520) 222-8208
NPI assigned
Feb 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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 111511 TX Primary

Addresses

Primary practice location

9045 N Shadow Mountain Dr
Oro Valley, AZ 85704-6758

Mailing address

7090 N Oracle Rd
Ste 178 #152
Tucson, AZ 85704-4383
Phone (520) 222-8208

Other practice location 1

23922 Cinco Village Center Blvd Ste 200
Katy, TX 77494-6620
Phone (281) 391-8255

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

State licenses

LicenseStateTypeSpecialty
111511TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pillar Speech Therapy, LLC Speech-Language Pathologist CurrentSince Jan 22, 2023 Accepting new patients
The Speech and Language Connection Speech-Language Pathologist Past Accepting new patients

Locations

7090 N Oracle Rd
Ste 152
Tucson, AZ 85704

Organizations & group practices 2

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": "1518652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1184124208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7090 N ORACLE RD",
            "address_2": "STE 178 #152",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857044383",
            "telephone_number": "520-222-8208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9045 N SHADOW MOUNTAIN DR",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857046758",
            "telephone_number": "520-222-8208"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23922 Cinco Village Center Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774946620",
            "country_code": "US",
            "telephone_number": "281-391-8255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELSBY",
        "first_name": "MISTY",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-15",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "111511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oro Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.