Elizabeth McDonald

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA5688 Issued in FL

Practice address

549 NW Lake Whitney PL Ste 104
Port Saint Lucie, FL 34986-1606

Phone

(772) 301-1207

Fax

(772) 301-1255

NPI assigned

Nov 13, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542067200000",
    "number": "1265900856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6312 SW BANKS ST",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349905815",
            "telephone_number": "561-508-0384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 NW LAKE WHITNEY PL STE 104",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349861606",
            "telephone_number": "772-301-1207",
            "fax_number": "772-301-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-13",
        "last_updated": "2018-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA5688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin McBride, DMD
• Janelle Brown McCandless, MSP,CCC,SLP
• Derakasha McCloud, LMHC
• Mary McConnell
• Victoria Lynn McDaniel, M.S.
• Jordan McDonald, HIS
• Yvette E McDonald, LCSW
• Oneil McEwan
• Marvia McFarlane
• Sheron Jasmine McFarlane, RN

• Speech-Language Pathologist in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; 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.