Elisa Ycoco Ballesteros, BS SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLPL5252 Issued in AZ

Practice address

1991 E Whitehouse Canyon Rd
Green Valley, AZ 85614-0522

Phone

(520) 625-4581

NPI assigned

Feb 6, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432771200000",
    "number": "1285773895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 547",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856220547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 E WHITEHOUSE CANYON RD",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856140522",
            "telephone_number": "520-625-4581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLESTEROS",
        "first_name": "ELISA",
        "middle_name": "YCOCO",
        "credential": "BS SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2015-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLPL5252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "028399",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Mable Augustine, DPT
• Carol Avila, ACNP
• Katelyn Ayer, MA SLP CCC
• Cynthia Babcock Sullivan
• Lutissua D Ballard, PSYD
• Banner - University Medical Center Tucson Campus LLC
• Barnet Dulaney Perkins Eye Center, PC
• Barney D. Streit, D.D.S., P.C.
• Kevin David Barrow, LPC
• Charles I Barta, M.D.

• Speech-Language Pathologist in Green Valley, AZ
• Providers in Green Valley, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; 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.