Individual provider Active NPI

Elizabeth G West, MA-SLP

  • Speech-Language Pathologist
  • West Chazy, NY
National Provider Identifier
1326290412
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
58-014331 Issued in NY
Practice address
58 Beartown Rd
West Chazy, NY 12992-2101
Phone
(518) 562-5851
Fax
(518) 562-5851
NPI assigned
Oct 21, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

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 58-014331 NY Primary

Addresses

Primary practice location

58 Beartown Rd
West Chazy, NY 12992-2101

Mailing address

58 Beartown Rd
West Chazy, NY 12992-2101
Phone (518) 562-5851

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
58-014331NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1326290412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 BEARTOWN RD",
            "city": "WEST CHAZY",
            "state": "NY",
            "postal_code": "129922101",
            "telephone_number": "518-562-5851",
            "fax_number": "518-562-5851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 BEARTOWN RD",
            "city": "WEST CHAZY",
            "state": "NY",
            "postal_code": "129922101",
            "telephone_number": "518-562-5851",
            "fax_number": "518-562-5851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "ELIZABETH",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "MA-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "58-014331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chazy, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.