Individual provider Active NPI

Elizabeth Hogenkamp

  • Speech-Language Pathologist
  • Fort Walton Beach, FL
National Provider Identifier
1205274206
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA13479 Issued in FL
Practice address
24 Hollywood Blvd SW Ste 7
Fort Walton Beach, FL 32548-4893
Phone
(850) 226-7411
NPI assigned
Jun 12, 2013
Last updated
Jul 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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 SA13479 FL Primary

Addresses

Primary practice location

24 Hollywood Blvd SW Ste 7
Fort Walton Beach, FL 32548-4893

Mailing address

24 Hollywood Blvd SW Ste 7
Fort Walton Beach, FL 32548-4893
Phone (850) 226-7411

Other practice location 1

2009 Dauphin St
Mobile, AL 36606-1402
Phone (251) 455-5903

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SA13479FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Treehouse Therapies, LLC Speech-Language Pathologist CurrentSince Aug 28, 2021 Accepting new patients
Treehouse Therapies, LLC Speech-Language Pathologist PastSince Jul 25, 2019 Accepting new patients

Locations

24 Hollywood Blvd SW
Ste 7
Fort Walton Beach, FL 32548
Phone (850) 226-7411

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1205274206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 HOLLYWOOD BLVD SW STE 7",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325484893",
            "telephone_number": "850-226-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 HOLLYWOOD BLVD SW STE 7",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325484893",
            "telephone_number": "850-226-7411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2009 Dauphin St",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366061402",
            "country_code": "US",
            "telephone_number": "251-455-5903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOGENKAMP",
        "first_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-12",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA13479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; 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.