Individual provider Active NPI

Elizabeth Kats, CCC- SLP

  • Speech-Language Pathologist
  • Irene, SD
National Provider Identifier
1255890919
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
800-SLP Issued in SD
Practice address
129 E Clay St
Irene, SD 57037-2034
Phone
(720) 987-5770
NPI assigned
Mar 13, 2019
Last updated
Mar 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 141175339 SD
Speech-Language Pathologist 235Z00000X 800-SLP SD Primary

Addresses

Primary practice location

129 E Clay St
Irene, SD 57037-2034

Mailing address

129 E Clay St
Irene, SD 57037-2034
Phone (720) 987-5770

Other names 1

  • Elizabeth Peterson Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address elizabeth.peterson@aegistherapies.com Direct

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

State licenses

LicenseStateTypeSpecialty
141175339SDMDSpeech-Language Pathologist
800-SLPSDMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1255890919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 E CLAY ST",
            "city": "IRENE",
            "state": "SD",
            "postal_code": "570372034",
            "telephone_number": "720-987-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 E CLAY ST",
            "city": "IRENE",
            "state": "SD",
            "postal_code": "570372034",
            "telephone_number": "720-987-5770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATS",
        "first_name": "ELIZABETH",
        "credential": "CCC- SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-13",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SD",
            "license": "141175339",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SD",
            "license": "800-SLP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elizabeth.peterson@aegistherapies.com",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "129 E Clay St",
            "city": "Irene",
            "state": "SD",
            "country_code": "US",
            "postal_code": "570372034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "PETERSON",
            "credential": "CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Irene, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.