Elisabeth Angelica Vance, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202008458 Issued in VA

Practice address

150 Point O'Woods Rd.
Williamsburg, VA 23188-7052

Phone

(757) 566-3300

Fax

(757) 566-8977

NPI assigned

Jan 20, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1484870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484870400000",
    "number": "1356888077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 POINT O'WOODS RD.",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231887052",
            "telephone_number": "757-566-3300",
            "fax_number": "757-566-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 POINT O'WOODS RD.",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231887052",
            "telephone_number": "757-566-3300",
            "fax_number": "757-566-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCE",
        "first_name": "ELISABETH",
        "middle_name": "ANGELICA",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-20",
        "last_updated": "2017-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202008458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "45084",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49-7850-1",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Joseph Valaik, M.D.
• Shelley Leann Valencia, LPTA
• Mary Louise Vallone, A.N.P.
• Carlyn Grace Van Blaricum, DC
• Kristen Marie Van Gelder
• Rebecca K Vanderstouwe, MSN, FNP-BC
• Madeline Vann
• Ann P Vanskiver, PSY.D.
• Vicki Sue Vaughan, RBT
• Clara Vazquez

• Speech-Language Pathologist in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; 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.