Individual provider Active NPI

Linda Marie Elieff, MA CCC SLP

  • Speech-Language Pathologist
  • Bakersfield, CA
National Provider Identifier
1376525634
Registry record updated Oct 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP4167 Issued in CA
Practice address
1325 Ensley Dr
Bakersfield, CA 93312-4649
Phone
(661) 589-8527
Fax
(661) 589-8527
NPI assigned
Nov 14, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 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 SP4167 CA Primary

Addresses

Primary practice location

1325 Ensley Dr
Bakersfield, CA 93312-4649

Mailing address

PO Box 9891
Bakersfield, CA 93389-1891
Phone (661) 589-8527

Other identifiers 1

IdentifierTypeStateIssuer
SP0041670MedicaidCA

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
SP4167CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413158400000",
    "number": "1376525634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9891",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933891891",
            "telephone_number": "661-589-8527",
            "fax_number": "661-589-8527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 ENSLEY DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933124649",
            "telephone_number": "661-589-8527",
            "fax_number": "661-589-8527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIEFF",
        "first_name": "LINDA",
        "middle_name": "MARIE",
        "credential": "MA CCC SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-14",
        "last_updated": "2014-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP4167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SP0041670",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; 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.