Individual provider Active NPI

Elise Anne Raymond

  • Speech-Language Pathologist
  • Shepherdsville, KY
National Provider Identifier
1194597104
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
267906 Issued in KY
Practice address
797 Old Preston Hwy N
Shepherdsville, KY 40165-9221
Phone
(502) 424-0826
NPI assigned
Oct 23, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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 267906 KY Primary

Addresses

Primary practice location

797 Old Preston Hwy N
Shepherdsville, KY 40165-9221

Mailing address

531 W Woodlake Cir
Mount Washington, KY 40047-6186
Phone (502) 424-0826

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250109002598 KY Practitioner - Qualified Speech Language Pathologist 8628506292 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aegis Group Practice LLC Speech-Language Pathologist CurrentSince Mar 25, 2025 Accepting new patients
Aegis Group Practice LLC Speech-Language Pathologist CurrentSince Mar 25, 2025 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Speech-Language Pathologist CurrentSince Dec 7, 2024 Accepting new patients
Aegis Group Practice LLC Speech-Language Pathologist Current Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Speech-Language Pathologist CurrentSince Dec 7, 2024 Accepting new patients

Locations

4933 Old Greenwood Rd
Fort Smith, AR 72903

9107 Taylorsville Rd
Apt 137
Louisville, KY 40299
Phone (502) 380-6585

10210 Long Home Rd
Louisville, KY 40291
Phone (502) 231-4522

Organizations & group practices 5

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": "1698019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1194597104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 W WOODLAKE CIR",
            "city": "MOUNT WASHINGTON",
            "state": "KY",
            "postal_code": "400476186",
            "telephone_number": "502-424-0826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "797 OLD PRESTON HWY N",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401659221",
            "telephone_number": "502-424-0826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYMOND",
        "first_name": "ELISE",
        "middle_name": "ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-23",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "267906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shepherdsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.