Active NPI
Elizabeth Chapdelaine, M.S. CCC-SLP
- Speech-Language Pathologist
- Woodland Hills, CA
National Provider Identifier
1336178599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP 20785
- Practice address
- 6355 De Soto Avenue
B317
Woodland Hills, CA 91367 - Phone
- (425) 314-1716
- Fax
- (425) 675-0303
- NPI assigned
- Jul 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | LL00001195 | WA | |
| Speech-Language Pathologist | 235Z00000X | SP 20785 | CA | Primary |
Addresses
Primary practice location
6355 De Soto Avenue
B317
Woodland Hills, CA 91367
Mailing address
6355 De Soto Avenue
B317
Woodland Hills, CA 91367
Phone (425) 314-1716
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7132632 | Medicaid | WA |
Other names 1
- Elizabeth Stone
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP 20785 | CA | MD | Speech-Language Pathologist |
| LL00001195 | WA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370908800000",
"number": "1336178599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6355 DE SOTO AVENUE",
"address_2": "B317",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "91367",
"telephone_number": "425-314-1716",
"fax_number": "425-675-0303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6355 DE SOTO AVENUE",
"address_2": "B317",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "91367",
"telephone_number": "425-314-1716",
"fax_number": "425-675-0303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAPDELAINE",
"first_name": "ELIZABETH",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-01",
"last_updated": "2013-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "LL00001195",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SP 20785",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7132632",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "STONE",
"credential": "M.S. CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Woodland Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.