Active NPI
Elisabeth Trujillo
- Speech-Language Pathologist
- Estero, FL
National Provider Identifier
1386260628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA14642
- Practice address
- 23150 Fashion Dr Ste 238
Estero, FL 33928-2568 - Phone
- (239) 351-9104
- NPI assigned
- Jun 23, 2020
- Sex
- Female
- Sole proprietor
- No
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 | SA14642 | FL | Primary |
Addresses
Primary practice location
23150 Fashion Dr Ste 238
Estero, FL 33928-2568
Mailing address
769 Palm View Dr
Naples, FL 34110-1207
Phone (917) 617-9379
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA14642 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Telehealth Specialists, LLC | Current | Accepting new patients |
Locations
23150 Fashion Dr
Ste 238
Estero, FL 33928
Phone (239) 351-9104
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.
-
- Developmental Therapist
- Estero, FL
- NPI 1962043570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592870400000",
"number": "1386260628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "769 PALM VIEW DR",
"city": "NAPLES",
"state": "FL",
"postal_code": "341101207",
"telephone_number": "917-617-9379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23150 FASHION DR STE 238",
"city": "ESTERO",
"state": "FL",
"postal_code": "339282568",
"telephone_number": "239-351-9104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUJILLO",
"first_name": "ELISABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-23",
"last_updated": "2020-06-23",
"certification_date": "2020-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA14642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Estero, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.