Elizabeth Teresa Villagran, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

109882 Issued in TX

Practice address

6408 Copps Ave
Monona, WI 53716-3702

Phone

(608) 417-3131

NPI assigned

Sep 27, 2014

Last updated

Nov 12, 2019By 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

Master of Arts

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.

• Communication Innovations, LLC

  • Clinic/Center
  • Fitchburg, WI
  • NPI 1508033564
  NPD (past)
• Milestones Therapeutic Associates, Inc.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • McAllen, TX
  • NPI 1629189246
  NPD (past)

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

{
    "created_epoch": "1411776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1245633841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 E JOHNSON ST APT 1",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537031667",
            "telephone_number": "210-461-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6408 COPPS AVE",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537163702",
            "telephone_number": "608-417-3131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2927 S Fish Hatchery Rd",
            "address_purpose": "LOCATION",
            "city": "Fitchburg",
            "state": "WI",
            "postal_code": "537116498",
            "country_code": "US",
            "telephone_number": "608-819-6394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLAGRAN",
        "first_name": "ELIZABETH",
        "middle_name": "TERESA",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-27",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "109882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• University of Wisconsin Hospitals and Clinics Authority (UW Health Yahara Rehab Clinic)
• University of Wisconsin Medical Foundation Inc
• Kara Mae Vanloon, RN
• Jeffrey Todd Vassalli Jr., M.D.
• Ana K Villagomez-Moreno, RN
• Karina Liliette Viloria Rodriguez, M.D.
• Michaela L Voeck, LPC, CSAC
• Wal-Mart Stores East LP. (Walmart Pharmacy 10-3857)
• Wal-Mart Stores East, LP (Vision Center 30-3857)
• Walgreen Co (Walgreens #04830)

• Speech-Language Pathologist in Monona, WI
• Providers in Monona, WI by specialty
• Speech-Language Pathologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.