Individual provider Active NPI

Elsbeth S Steuck

  • Speech-Language Pathologist
  • Fuquay Varina, NC
National Provider Identifier
1366784613
Registry record updated Mar 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8511 Issued in NC
Practice address
927 Sethcreek Dr
Fuquay Varina, NC 27526-5154
Phone
(336) 688-2775
NPI assigned
Mar 25, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2014

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 8511 NC Primary

Addresses

Primary practice location

927 Sethcreek Dr
Fuquay Varina, NC 27526-5154

Mailing address

927 Sethcreek Dr
Fuquay Varina, NC 27526-5154

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140904000545 NC Practitioner - Qualified Speech Language Pathologist 7214155241 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Brody School of Medicine at East Carolina University, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians
Capitol City Speech Therapy, LLCGroup PAC ID 5799824991, 4 clinicians

Practice addresses (Care Compare)

1221 Broad St
Fuquay Varina, NC 27526-3602
Phone (919) 552-6052

141 N Main St
Fuquay Varina, NC 27526-1933
Phone (919) 577-6807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8511NCMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wakemed Specialists Group LLC CurrentSince Jan 10, 2022 Accepting new patients
Wakemed Specialists Group, LLC Current Accepting new patients
Capitol City Speech Therapy, LLC Speech-Language Pathologist CurrentSince Jun 26, 2014 Accepting new patients
Wakemed Specialists Group, LLC CurrentSince Jan 10, 2022 Accepting new patients

Locations

10000 Cambridge Village Loop
Apex, NC 27502
Phone (919) 363-2080

141 N Main St
Fuquay Varina, NC 27526
Phone (919) 577-6807

6523 Johnson Pond Rd
Fuquay Varina, NC 27526

6845 Knightdale Blvd
Ste 102
Knightdale, NC 27545
Phone (919) 577-6807

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

1330 Saint Marys St
Ste 100
Raleigh, NC 27605
Phone (919) 577-6807

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393804800000",
    "number": "1366784613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 SETHCREEK DR",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275265154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 SETHCREEK DR",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275265154",
            "telephone_number": "336-688-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEUCK",
        "first_name": "ELSBETH",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-25",
        "last_updated": "2014-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "8511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fuquay Varina, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.