Elizabeth Kayla Wittenberg, MS

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

10802 Issued in MD

Practice address

850 Hungerford Dr
Rockville, MD 20850-1718

Phone

(240) 740-3000

NPI assigned

Aug 21, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Elizabeth Kayla Donaldson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1255115499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 1ST AVE",
            "city": "GREENVILLE",
            "state": "PA",
            "postal_code": "161251834",
            "telephone_number": "724-974-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 HUNGERFORD DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208501718",
            "telephone_number": "240-740-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTENBERG",
        "first_name": "ELIZABETH",
        "middle_name": "KAYLA",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL016941",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "10802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "DONALDSON",
            "middle_name": "KAYLA",
            "credential": "MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dionne Witherspoon
• Patrena K Witherspoon
• Amanda Z Witmer, PA-C
• Jeffrey Francis Witte, MD
• Victor Witten, M.D.
• Keryn Wittenberg
• Kimberly Witter
• Mary Witteried, LCPC
• Berhaane Wobante
• Michelle Woctchou

• Speech-Language Pathologist in Rockville, MD
• Providers in Rockville, MD by specialty
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.