Individual provider Active NPI

Elizabeth Marieanne Lobecker, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Glenside, PA
National Provider Identifier
1437440385
Registry record updated Dec 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL010731 Issued in PA
Practice address
850 Paper Mill Rd
Glenside, PA 19038-7833
Phone
(215) 402-8833
NPI assigned
Apr 27, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 41YS00593100 NJ
Speech-Language Pathologist 235Z00000X SL010731 PA Primary

Addresses

Primary practice location

850 Paper Mill Rd
Glenside, PA 19038-7833

Mailing address

850 Paper Mill Rd
Glenside, PA 19038-7833
Phone (215) 402-8833

Other identifiers 2

IdentifierTypeStateIssuer
80236015OtherPAGENESIS HEALTHCARE
80236015OtherNJGENESIS HEALTHCARE

Other names 1

  • Ms. Elizabeth Marieanne Knapp Former name

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

LicenseStateTypeSpecialty
41YS00593100NJMDSpeech-Language Pathologist
SL010731PAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481587200000",
    "number": "1437440385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 PAPER MILL RD",
            "city": "GLENSIDE",
            "state": "PA",
            "postal_code": "190387833",
            "telephone_number": "215-402-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 PAPER MILL RD",
            "city": "GLENSIDE",
            "state": "PA",
            "postal_code": "190387833",
            "telephone_number": "215-402-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOBECKER",
        "first_name": "ELIZABETH",
        "middle_name": "MARIEANNE",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-27",
        "last_updated": "2016-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00593100",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL010731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENESIS HEALTHCARE",
            "identifier": "80236015",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENESIS HEALTHCARE",
            "identifier": "80236015",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "KNAPP",
            "middle_name": "MARIEANNE",
            "prefix": "MS.",
            "credential": "M.S., CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glenside, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; 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.