Elizabeth L Conner, PHD CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2751154 Issued in WI

Practice address

14619 School House Rd
Bunker Hill, IL 62014-3127

Phone

(217) 730-5146

NPI assigned

Jan 5, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Ms. Elizabeth L Troester Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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.

• University of Wisconsin System Non Payroll

  • Speech-Language Pathologist
  • River Falls, WI
  • NPI 1740559848
  NPD (past)

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1346397874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14619 SCHOOL HOUSE RD",
            "city": "BUNKER HILL",
            "state": "IL",
            "postal_code": "620143127",
            "telephone_number": "813-390-9109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14619 SCHOOL HOUSE RD",
            "city": "BUNKER HILL",
            "state": "IL",
            "postal_code": "620143127",
            "telephone_number": "217-730-5146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "621 Sand Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Valrico",
            "state": "FL",
            "postal_code": "33594",
            "country_code": "US",
            "telephone_number": "813-390-9109",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "410 S Third St",
            "address_2": "Speech and Hearing Clinic",
            "address_purpose": "LOCATION",
            "city": "River Falls",
            "state": "WI",
            "postal_code": "54022",
            "country_code": "US",
            "telephone_number": "715-425-3801",
            "fax_number": "715-425-3800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNER",
        "first_name": "ELIZABETH",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PHD CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "8005",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.003768",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "2751154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "533G2TE",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "TROESTER",
            "middle_name": "L",
            "prefix": "MS.",
            "credential": "PHD CCC SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Speech-Language Pathologist in Bunker Hill, IL
• Providers in Bunker Hill, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.