Active NPI
Christine Marie Elliott, M.S., CCC-SP.
- Speech-Language Pathologist
- Tempe, AZ
National Provider Identifier
1376752451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 00661397
- Practice address
- 2435 E. Southern Avenue, Suite 7
Tempe, AZ 85282 - Phone
- (480) 345-2012
- Fax
- (480) 839-2590
- NPI assigned
- May 22, 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 | 00661397 | AZ | Primary |
Addresses
Primary practice location
2435 E. Southern Avenue, Suite 7
Tempe, AZ 85282
Mailing address
7130 W Emile Zola Ave
Peoria, AZ 85381-5505
Phone (623) 322-9544
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00661397 | AZ | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376752451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7130 W EMILE ZOLA AVE",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853815505",
"telephone_number": "623-322-9544",
"fax_number": "623-322-2286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2435 E. SOUTHERN AVENUE, SUITE 7",
"city": "TEMPE",
"state": "AZ",
"postal_code": "85282",
"telephone_number": "480-345-2012",
"fax_number": "480-839-2590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIOTT",
"first_name": "CHRISTINE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "M.S., CCC-SP.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "00661397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.