Individual provider Active NPI

Elsa Judith Riggin

  • Speech-Language Pathologist
  • Yakima, WA
National Provider Identifier
1467797464
Registry record updated Dec 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL00001351 Issued in WA
Practice address
1542 S 68TH Ave
Yakima, WA 98908-5600
Phone
(509) 965-8931
NPI assigned
Dec 1, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2012

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 LL00001351 WA Primary

Addresses

Primary practice location

1542 S 68TH Ave
Yakima, WA 98908-5600

Mailing address

1542 S 68TH Ave
Yakima, WA 98908-5600
Phone (509) 965-8931

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

State licenses

LicenseStateTypeSpecialty
LL00001351WAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1354320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354320000000",
    "number": "1467797464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1542 S 68TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989085600",
            "telephone_number": "509-965-8931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1542 S 68TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989085600",
            "telephone_number": "509-965-8931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIGGIN",
        "first_name": "ELSA",
        "middle_name": "JUDITH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-01",
        "last_updated": "2012-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00001351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.