Elisabeth Haskins

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

1979 Lakeside Pkwy Ste 800
Tucker, GA 30084-5856

Phone

(770) 325-0343

NPI assigned

Jul 24, 2014

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

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406160000000",
    "number": "1225446099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 BENTON BLVD",
            "address_2": "APT 6104",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313221991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1979 LAKESIDE PKWY STE 800",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845856",
            "telephone_number": "770-325-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASKINS",
        "first_name": "ELISABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-24",
        "last_updated": "2014-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candace M Harris, LMT
• Irina Harris, LPC
• Jessica Harris, DC
• Lynda L. Hart, M.S., CCC-SLP
• Osei Harvey, M.A., LPC, NCC
• Daniel Leroy Hatch, PH.D.
• Hannah Elizabeth Hathorn, M.ED. CCC-SLP
• Jurine D. Hatten, PT
• Jason R Haynes, NCC
• Mollie Christene Headrick, FNP

• Speech-Language Pathologist in Tucker, GA
• Providers in Tucker, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.