Individual provider Active NPI

Elizabeth Stalker, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Bethesda, MD
National Provider Identifier
1205182417
Registry record updated Jun 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202007303 Issued in VA
Practice address
5606 Shields Dr
Bethesda, MD 20817-3571
Phone
(301) 493-0023
NPI assigned
Jul 25, 2012
Last updated
Jun 23, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 022002 NY
Speech-Language Pathologist 235Z00000X 07046 MD
Speech-Language Pathologist 235Z00000X SLP000574 DC
Speech-Language Pathologist 235Z00000X 2202007303 VA Primary

Addresses

Primary practice location

5606 Shields Dr
Bethesda, MD 20817-3571

Mailing address

2228 Gunsmith SQ
Reston, VA 20191-2308
Phone (516) 509-7435

Other names 1

  • Elizabeth Maloney Former name

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
SLP000574DCMDSpeech-Language Pathologist
07046MDMDSpeech-Language Pathologist
022002NYMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403481600000",
    "number": "1205182417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2228 GUNSMITH SQ",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201912308",
            "telephone_number": "516-509-7435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5606 SHIELDS DR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208173571",
            "telephone_number": "301-493-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALKER",
        "first_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-25",
        "last_updated": "2014-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "022002",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "07046",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "DC",
            "license": "SLP000574",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202007303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "MALONEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; 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.