Organization Active NPI

Speech Works by Elissa, LLC

  • Speech-Language Pathologist
  • Las Vegas, NV
National Provider Identifier
1417236936
Registry record updated Aug 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP940 Issued in NV
Legal business name
SPEECH WORKS BY ELISSA, LLC
Practice address
331 N Buffalo Dr
Stuite B
Las Vegas, NV 89145-0300
Phone
(702) 733-8255
Fax
(702) 737-8255
NPI assigned
Aug 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Elissa R Mandel, MS CCC-SLP MS SPEDNPI 1568562049
Title
Director
Phone
(702) 733-8255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SP940 NV Primary

Addresses

Primary practice location

331 N Buffalo Dr
Stuite B
Las Vegas, NV 89145-0300

Mailing address

2557 Black River Falls Dr
Henderson, NV 89044-1010
Phone (702) 516-1300

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313366400000",
    "number": "1417236936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2557 BLACK RIVER FALLS DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890441010",
            "telephone_number": "702-516-1300",
            "fax_number": "702-947-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 N BUFFALO DR",
            "address_2": "STUITE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891450300",
            "telephone_number": "702-733-8255",
            "fax_number": "702-737-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH WORKS BY ELISSA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-15",
        "last_updated": "2011-08-15",
        "status": "A",
        "authorized_official_last_name": "MANDEL",
        "authorized_official_first_name": "ELISSA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "702-733-8255",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS CCC-SLP  MS SPED"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NV",
            "license": "SP940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; 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.