Active NPI
Elizabeth Iversen, M.S., SLP-CCC
- Speech-Language Pathologist
- Rosenberg, TX
National Provider Identifier
1477008662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP-2550
- Practice address
- 5227 Stoneridge CT
Rosenberg, TX 77471-6408 - Phone
- (713) 392-5469
- NPI assigned
- Aug 18, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 111501 | TX | |
| Speech-Language Pathologist | 235Z00000X | SP-2550 | NV | Primary |
Addresses
Primary practice location
5227 Stoneridge CT
Rosenberg, TX 77471-6408
Mailing address
5227 Stoneridge CT
Rosenberg, TX 77471-6408
Phone (713) 392-5469
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP-2550 | NV | MD | Speech-Language Pathologist |
| 111501 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561507200000",
"number": "1477008662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5227 STONERIDGE CT",
"city": "ROSENBERG",
"state": "TX",
"postal_code": "774716408",
"telephone_number": "713-392-5469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5227 STONERIDGE CT",
"city": "ROSENBERG",
"state": "TX",
"postal_code": "774716408",
"telephone_number": "713-392-5469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IVERSEN",
"first_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "M.S., SLP-CCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-18",
"last_updated": "2019-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "111501",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NV",
"license": "SP-2550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rosenberg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.