Elizabeth Shields Fagg, M.S.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

6845 Issued in NC

Practice address

4012 Park Rd
Suite 200
Charlotte, NC 28209-2377

Phone

(704) 332-4824

NPI assigned

Oct 25, 2006

Last updated

Mar 26, 2012By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332720000000",
    "number": "1447334446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 E 5TH ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282044339",
            "telephone_number": "704-332-4834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4012 PARK RD",
            "address_2": "SUITE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282092377",
            "telephone_number": "704-332-4824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGG",
        "first_name": "ELIZABETH",
        "middle_name": "SHIELDS",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2012-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "6845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fafli Inc
• David Fafore, LCSW-A
• James Arthur Fagan, M.D.
• Kaitlin Marie Fagan, NP
• Lavina Rae Fagan
• Lester J. Fahrner IV, MD, MS
• Christopher Randall Fahrney, DMD
• Jordan Andrew Failla, DO
• Leighton Barber Fain, D.M.D.
• Timothy Milton Fain, NP

• Speech-Language Pathologist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2012; 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.