Elizabeth Young

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP6694 Issued in NM

Practice address

11905 Golden Gate Ave NE
Albuquerque, NM 87111-5360

Phone

(505) 306-1751

NPI assigned

Jun 26, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Haaksma Speech Pathology Inc

  • Physical Therapist
  • Aurora, CO
  • NPI 1891199089

  Speech-Language Pathologist

  NPD (past)
• Haaksma Speech Pathology, LLC

  • Home Health Agency
  • Aurora, CO
  • NPI 1376876748

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1306331095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11905 GOLDEN GATE AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871115360",
            "telephone_number": "505-306-1751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11905 GOLDEN GATE AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871115360",
            "telephone_number": "505-306-1751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-26",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "SLP6694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela L Young, LMSW
• Cathy Young, PHARMD
• Darryl Young
• David Wayne Young, PA-C
• Dontez Young, RBT
• Genevieve Young
• Heidi Leann Young
• Isaiah James Young, PHARMD
• Jarrid Allen Young, PHARMD
• Jeffrey Young

• Speech-Language Pathologist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Speech-Language Pathologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.