Elizabeth Barnes Jolley, PHD CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

6083 Issued in NC

Practice address

4820 Studbury Hall CT
Wake Forest, NC 27587-9800

Phone

(919) 609-5643

NPI assigned

May 15, 2014

Last updated

Apr 25, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chitter Chatter

  • Speech-Language Pathologist
  • Wake Forest, NC
  • NPI 1861764094
  NPD (past)

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

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1205247939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 STUDBURY HALL CT",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275879800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 STUDBURY HALL CT",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275879800",
            "telephone_number": "919-609-5643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLLEY",
        "first_name": "ELIZABETH",
        "middle_name": "BARNES",
        "credential": "PHD CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-15",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "2761",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "6083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendell Clavonn John, RN, MSN, FNP-C
• Amanda Steele Johnson, OD
• Deshah Jalen Johnson, NP
• Sarah Ann Johnson, LMFTA
• Tiara Jalynn Johnson, RPH
• Renee Stein Jolly, MS, CCC-SLP
• Cree Jones
• Erica L Jones
• Lizbeth Anne Jones, PT
• Meagan Anne Jones, M.A., LPC

• Speech-Language Pathologist in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; 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.