Active NPI
Elise Renee Hancock, M.S., CCC-SLP
- Speech-Language Pathologist
- Newport, VT
National Provider Identifier
1235475997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 50 Pond St
Newport, VT 05855-4825 - Phone
- (802) 279-5847
- NPI assigned
- Dec 27, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | VT | Primary |
Addresses
Primary practice location
50 Pond St
Newport, VT 05855-4825
Mailing address
209 Congress St # 1
Morrisville, VT 05661-6049
Phone (802) 279-5847
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12069791 | Other | VT | AMERICAN SPEECH AND HEARING ASSOCIATION |
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356566400000",
"number": "1235475997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 CONGRESS ST # 1",
"city": "MORRISVILLE",
"state": "VT",
"postal_code": "056616049",
"telephone_number": "802-279-5847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 POND ST",
"city": "NEWPORT",
"state": "VT",
"postal_code": "058554825",
"telephone_number": "802-279-5847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANCOCK",
"first_name": "ELISE",
"middle_name": "RENEE",
"name_prefix": "Ms.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-27",
"last_updated": "2012-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VT",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN SPEECH AND HEARING ASSOCIATION",
"identifier": "12069791",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newport, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.