Individual provider Active NPI

Elizabeth Nolen, CCC, SLP

  • Speech-Language Pathologist
  • Raleigh, NC
National Provider Identifier
1255017356
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
14925 Issued in NC
Practice address
1230 Winding Arbor TRL Apt 13-206
Raleigh, NC 27606-3995
Phone
(980) 228-7893
NPI assigned
Jun 23, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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 14925 NC Primary

Addresses

Primary practice location

1230 Winding Arbor TRL Apt 13-206
Raleigh, NC 27606-3995

Mailing address

1229 Toteros Dr
Waxhaw, NC 28173-6950
Phone (704) 649-4509

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230913000485 NC Practitioner - Qualified Speech Language Pathologist 3870957699 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14925NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Benefit Therapy Services, PLLC Speech-Language Pathologist CurrentSince Jul 31, 2023 Accepting new patients
Milestone Therapy Inc Speech-Language Pathologist PastSince Jun 25, 2023 Accepting new patients

Locations

600A Village Walk Dr
Holly Springs, NC 27540
Phone (919) 285-2157

1140 Holly Springs Rd
Ste 111
Holly Springs, NC 27540
Phone (919) 285-2157

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1687478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1255017356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 TOTEROS DR",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281736950",
            "telephone_number": "704-649-4509",
            "fax_number": "704-843-9045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 WINDING ARBOR TRL APT 13-206",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276063995",
            "telephone_number": "980-228-7893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLEN",
        "first_name": "ELIZABETH",
        "credential": "CCC, SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-23",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "14925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.