Individual provider Active NPI

Elizabeth Maddux Balthrop, MS, CCC-SLP

  • Speech-Language Pathologist
  • Ashland City, TN
National Provider Identifier
1356867394
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
108 Elizabeth St
Ashland City, TN 37015-1101
Phone
(615) 792-4296
NPI assigned
Aug 22, 2017
Last updated
Jun 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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 NU Primary

Addresses

Primary practice location

108 Elizabeth St
Ashland City, TN 37015-1101

Mailing address

108 Elizabeth St
Ashland City, TN 37015-1101
Phone (615) 792-4296

Other names 1

  • Mrs. Elizabeth Maddux Case Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1356867394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 ELIZABETH ST",
            "city": "ASHLAND CITY",
            "state": "TN",
            "postal_code": "370151101",
            "telephone_number": "615-792-4296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 ELIZABETH ST",
            "city": "ASHLAND CITY",
            "state": "TN",
            "postal_code": "370151101",
            "telephone_number": "615-792-4296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALTHROP",
        "first_name": "ELIZABETH",
        "middle_name": "MADDUX",
        "name_prefix": "Ms.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-22",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "CASE",
            "middle_name": "MADDUX",
            "prefix": "MRS.",
            "credential": "MS, CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ashland City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.