Individual provider Active NPI

Elizabeth Ann Clifford, MHS CCC-SLP

  • Speech-Language Pathologist
  • Lee's Summit, MO
National Provider Identifier
1275874513
Registry record updated Mar 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2011019420 Issued in MO
Practice address
351 Northwest Gregory
Lee's Summit, MO 64064
Phone
(816) 478-0381
NPI assigned
Mar 12, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2013

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 2011019420 MO Primary

Addresses

Primary practice location

351 Northwest Gregory
Lee's Summit, MO 64064

Mailing address

235 Ward Pkwy
Apt 403
Kansas City, MO 64112-2139
Phone (816) 547-8824

Other identifiers 1

IdentifierTypeStateIssuer
LUKE22MedicaidMO

Other names 1

  • Betsy Ann Clifford Other name

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
2011019420MOMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1363046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363046400000",
    "number": "1275874513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 WARD PKWY",
            "address_2": "APT 403",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641122139",
            "telephone_number": "816-547-8824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 NORTHWEST GREGORY",
            "city": "LEE'S SUMMIT",
            "state": "MO",
            "postal_code": "64064",
            "telephone_number": "816-478-0381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLIFFORD",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "MHS CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-12",
        "last_updated": "2013-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2011019420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LUKE22",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETSY",
            "last_name": "CLIFFORD",
            "middle_name": "ANN",
            "credential": "MHS CCC-SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lee's Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; 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.