Active NPI
Elizabeth J Meadows, SLP-CCC
- Speech-Language Pathologist
- Mesa, AZ
National Provider Identifier
1346616240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP9562
- Practice address
- 1025 N Country Club Dr
Mesa, AZ 85201-3307 - Phone
- (480) 472-2418
- NPI assigned
- Aug 13, 2015
- Sex
- Female
- Sole proprietor
- No
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 | TSLP9562 | AZ | |
| Speech-Language Pathologist | 235Z00000X | SLP9562 | AZ | Primary |
Addresses
Primary practice location
1025 N Country Club Dr
Mesa, AZ 85201-3307
Mailing address
1025 N Country Club Dr
Mesa, AZ 85201-3307
Phone (480) 472-2418
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
| License | State | Type | Specialty |
|---|---|---|---|
| SLP9562 | AZ | MD | Speech-Language Pathologist |
| TSLP9562 | AZ | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555977600000",
"number": "1346616240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 N COUNTRY CLUB DR",
"city": "MESA",
"state": "AZ",
"postal_code": "852013307",
"telephone_number": "480-472-2418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 N COUNTRY CLUB DR",
"city": "MESA",
"state": "AZ",
"postal_code": "852013307",
"telephone_number": "480-472-2418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEADOWS",
"first_name": "ELIZABETH",
"middle_name": "J",
"credential": "SLP-CCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-13",
"last_updated": "2019-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "TSLP9562",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP9562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
- James P Mead, DO
- Lauren Mead, M.A, CCC-SLP
- Jeanette Debra Meador, M.S.,CCC-SLP
- Sherri Ann Meador, CRNFA
- Meadows SNF Healthcare LLC (Meadows Post Acute)
- Rhianna Meadows, DO
- Jodi Lynn Mealer, PHARMD
- Mebe Arizona, LLC
- Medcall Medical
- Medela Vida LLC (PIBCOA - The Pain, Injury & Brain Centers of America)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.