Individual provider Active NPI

Elizabeth Ann Siewert, MS CCC-SLP

  • Speech-Language Pathologist
  • Philadelphia, PA
National Provider Identifier
1184859977
Registry record updated May 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL004289L Issued in PA
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

Updated by the provider on May 23, 2009

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 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

LicenseStateTypeSpecialty
SL004289LPAMDSpeech-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.

Verify at the official NPI Registry.