Active NPI
Elizabeth De Somery Covington, MA CCC SLP
- Speech-Language Pathologist
- Waltham, MA
National Provider Identifier
1376664227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1652
- Practice address
- 977 Main St
Waltham, MA 02451-7406 - Phone
- (781) 899-4709
- NPI assigned
- Apr 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1652 | MA | Primary |
Addresses
Primary practice location
977 Main St
Waltham, MA 02451-7406
Mailing address
55 Howard St
Lunenburg, MA 01462-1001
Phone (978) 582-3338
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0371815 | Medicaid | MA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1652 | MA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Communicative Health Care Associates Inc. | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Speech-Language Pathologist
- Waltham, MA
- NPI 1942320379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1376664227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 HOWARD ST",
"city": "LUNENBURG",
"state": "MA",
"postal_code": "014621001",
"telephone_number": "978-582-3338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "977 MAIN ST",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024517406",
"telephone_number": "781-899-4709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COVINGTON",
"first_name": "ELIZABETH",
"middle_name": "DE SOMERY",
"name_prefix": "Mrs.",
"credential": "MA CCC SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-02",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "1652",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0371815",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.