Elizabeth Agnes Conolly, M.ED., CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2203000322 Issued in VA

Practice address

550 Alwington Blvd
Warrenton, VA 20186-3703

Phone

(540) 422-7530

NPI assigned

May 10, 2018

Last updated

May 10, 2018By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525910400000",
    "number": "1205326709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 ALWINGTON BLVD",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201863703",
            "telephone_number": "540-422-7530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 ALWINGTON BLVD",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201863703",
            "telephone_number": "540-422-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONOLLY",
        "first_name": "ELIZABETH",
        "middle_name": "AGNES",
        "credential": "M.ED., CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-10",
        "last_updated": "2018-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2203000322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Commonwealth of Virginia State Board of Health (Fauquier County Health Department)
• Compass Carelink Home Health
• Sherry Conlin, MS OTR/L
• Tracie Conner, CMT
• Catherine Lucy Connors, CDC-SLP
• Eleana Marie Cook, PA-C
• Andria Lauren Corso
• Craniofacial Pain and Dental Sleep Center of Virginia PLLC
• Amy Elizabeth Crider, FNP-C
• Amy Crisp, R.D.

• Speech-Language Pathologist in Warrenton, VA
• Providers in Warrenton, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; 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.