Active NPI
Elisabeth Wilson
- Speech-Language Pathologist
- Baton Rouge, LA
National Provider Identifier
1386371862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2039
- Practice address
- 1050 S Foster Dr
Baton Rouge, LA 70806-7221 - Phone
- (225) 922-5400
- NPI assigned
- Aug 4, 2022
- 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 | 2039 | LA | Primary |
Addresses
Primary practice location
1050 S Foster Dr
Baton Rouge, LA 70806-7221
Mailing address
1050 S Foster Dr
Baton Rouge, LA 70806-7221
Phone (225) 922-5400
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 |
|---|---|---|---|
| 2039 | LA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659571200000",
"number": "1386371862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 S FOSTER DR",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708067221",
"telephone_number": "225-922-5400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 S FOSTER DR",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708067221",
"telephone_number": "225-922-5400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "ELISABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-04",
"last_updated": "2022-08-04",
"certification_date": "2022-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "LA",
"license": "2039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.