Individual provider Active NPI

Elizabeth Meier Soriano, MA, CCC- SLP

  • Speech-Language Pathologist
  • Mooresville, NC
National Provider Identifier
1356929582
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
10562 Issued in NC
Practice address
127 Cole Dr
Mooresville, NC 28115-3669
Phone
(608) 561-7869
NPI assigned
Mar 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 4397 KS
Speech-Language Pathologist 235Z00000X 144.0134125 VT
Speech-Language Pathologist 235Z00000X 10562 NC Primary

Addresses

Primary practice location

127 Cole Dr
Mooresville, NC 28115-3669

Mailing address

127 Cole Dr
Mooresville, NC 28115-3669
Phone (608) 561-7869

Other identifiers 4

IdentifierTypeStateIssuer
144.0134125OtherVTVERMONT STATE LICENSE
1883OtherPAPROFESSIONAL CERTIFICATE SCHOOLS COMMONWEALTH PA
10562OtherNCSLP STATE LICENSE
4397OtherKSKSSPEECH LANGUAGE PATHOLOGIST LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL elizabeth@dotomtherapy.com Direct Huddle Up Care Inc

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 Arts

State licenses

LicenseStateTypeSpecialty
4397KSMDClinical Social Worker
144.0134125VTMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1356929582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 COLE DR",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281153669",
            "telephone_number": "608-561-7869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 COLE DR",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281153669",
            "telephone_number": "608-561-7869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORIANO",
        "first_name": "ELIZABETH",
        "middle_name": "MEIER",
        "credential": "MA, CCC- SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "4397",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VT",
            "license": "144.0134125",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "10562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VERMONT STATE LICENSE",
            "identifier": "144.0134125",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL CERTIFICATE SCHOOLS COMMONWEALTH PA",
            "identifier": "1883",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SLP STATE LICENSE",
            "identifier": "10562",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KSSPEECH LANGUAGE PATHOLOGIST LICENSE",
            "identifier": "4397",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "elizabeth@dotomtherapy.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "Huddle Up Care Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "811 E Washington Ave Ste 400",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537034028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.