Elizabeth Balk, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101000416 Issued in MI

Practice address

7783 Bowers Harbor Ave
Kalamazoo, MI 49009-9332

Phone

(269) 359-7117

NPI assigned

Nov 22, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Elizabeth Rounds Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1437816618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33207 BERNICE AVE",
            "city": "PAW PAW",
            "state": "MI",
            "postal_code": "490799504",
            "telephone_number": "269-615-1931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7783 BOWERS HARBOR AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490099332",
            "telephone_number": "269-359-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALK",
        "first_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-22",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101000416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "ROUNDS",
            "credential": "M.A., CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Samantha Baker
• Mikayla Balasa
• Alan D Baldon
• Gloria D Baldwin-Wilson, LMSW
• Erin Marie Baldwin, MS, CCC-SLP
• Andria L Ball
• Christine Louise Ball, RN
• Chandell Ballen, LPC
• Brianna Balzer
• Traci Lynn Bammert, RPH

• All providers in Kalamazoo, MI
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; 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.