Elizabeth Ann Pittman, MA CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

518283 Issued in MN

Practice address

963 Carroll Ave
Saint Paul, MN 55104-5413

Phone

(507) 649-1141

NPI assigned

Dec 30, 2021

Last updated

Dec 30, 2021By 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)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

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

• In the Loop Speech & Language LLC

  • Speech-Language Pathologist
  • Saint Paul, MN
  • NPI 1649930751
  NPD Authorized official

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

{
    "created_epoch": "1640822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1477213585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "963 CARROLL AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551045413",
            "telephone_number": "507-649-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "963 CARROLL AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551045413",
            "telephone_number": "507-649-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-30",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "518283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pipe Trade Health Care Services (family health & wellness centers)
• Donald A Piper Jr., MD
• Elizabeth Pitchford, M.A., LPCC
• Amanda Victoria Pittman, LM, CPM
• Channa Roxanne Pittman, RN
• Gavin T Pittman, M.D.
• John Everett Pittman, PHARM.D.
• Stephen P Pittman, LICSW
• Siwadon Pitukweerakul, M.D.
• Dawn Pivec

• Speech-Language Pathologist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Speech-Language Pathologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; 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.