Elaine Joyce Gerrish, MS, CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP-412 Issued in WY

Practice address

817 County Road 154
Carpenter, WY 82054-9531

Phone

(307) 286-2586

NPI assigned

Sep 22, 2015

Last updated

Sep 22, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442880000000",
    "number": "1447629225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3119 GRIER BLVD",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820016205",
            "telephone_number": "307-286-2586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 COUNTY ROAD 154",
            "city": "CARPENTER",
            "state": "WY",
            "postal_code": "820549531",
            "telephone_number": "307-286-2586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERRISH",
        "first_name": "ELAINE",
        "middle_name": "JOYCE",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-22",
        "last_updated": "2015-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WY",
            "license": "SP-412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA CLINICAL COMPETENCY CERTIFICATION",
            "identifier": "09115149",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Michelle Christie Michael
• Serenity Counseling & Mental Health Services

• Speech-Language Pathologist in Carpenter, WY
• Providers in Carpenter, WY by specialty
• Speech-Language Pathologist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; 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.