Individual provider Active NPI

Elizabeth M. Garr, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Appleton, WI
National Provider Identifier
1457513467
Registry record updated Dec 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3096-154 Issued in WI
Practice address
3305 N Ballard Rd Ste C
Appleton, WI 54911-9001
Phone
(920) 735-9234
Fax
(920) 739-8288
NPI assigned
Jun 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 3096-154 WI Primary

Addresses

Primary practice location

3305 N Ballard Rd Ste C
Appleton, WI 54911-9001

Mailing address

1101 E South River St
Appleton, WI 54915-2223
Phone (920) 830-9911

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
3096-154WIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
PRN Home Health & Therapy, LLC PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514246400000",
    "number": "1457513467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 E SOUTH RIVER ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549152223",
            "telephone_number": "920-830-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 N BALLARD RD STE C",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549119001",
            "telephone_number": "920-735-9234",
            "fax_number": "920-739-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARR",
        "first_name": "ELIZABETH",
        "middle_name": "M.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-30",
        "last_updated": "2017-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "3096-154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2017; 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.