Active NPI
Elizabeth Ann Siewert, MS CCC-SLP
- Speech-Language Pathologist
- Philadelphia, PA
National Provider Identifier
1184859977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL004289L
- Practice address
- 215 Church St
3Rd. Floor
Philadelphia, PA 19106-4518 - Phone
- (800) 974-6383
- Fax
- (800) 974-4241
- NPI assigned
- May 21, 2009
- Sex
- Female
- Sole proprietor
- No
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 | SL004289L | PA | Primary |
Addresses
Primary practice location
215 Church St
3Rd. Floor
Philadelphia, PA 19106-4518
Mailing address
119 Governors Cir
Downingtown, PA 19335-1441
Phone (610) 873-1744
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL004289L | PA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243036800000",
"number": "1184859977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 GOVERNORS CIR",
"city": "DOWNINGTOWN",
"state": "PA",
"postal_code": "193351441",
"telephone_number": "610-873-1744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 CHURCH ST",
"address_2": "3RD. FLOOR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191064518",
"telephone_number": "800-974-6383",
"fax_number": "800-974-4241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEWERT",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "MS CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-21",
"last_updated": "2009-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL004289L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.