Active NPI
Elaina Carderelli
- Speech-Language Pathologist
- Moorefield, VA
National Provider Identifier
1487826756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1663
- Practice address
- 510 Ashby Street
Hardy County Board of Education
Moorefield, VA 26936 - Phone
- (304) 530-2348
- NPI assigned
- Mar 27, 2008
- Last updated
- Mar 27, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1663 | NU | Primary |
Addresses
Primary practice location
510 Ashby Street
Hardy County Board of Education
Moorefield, VA 26936
Mailing address
1044 Betsy Ross Court
Harrisonburg, VA 22802
Phone (540) 421-9876
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810010637 | Medicaid | WV |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206576000000",
"number": "1487826756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1044 BETSY ROSS COURT",
"city": "HARRISONBURG",
"state": "VA",
"postal_code": "22802",
"telephone_number": "540-421-9876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 ASHBY STREET",
"address_2": "HARDY COUNTY BOARD OF EDUCATION",
"city": "MOOREFIELD",
"state": "VA",
"postal_code": "26936",
"telephone_number": "304-530-2348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDERELLI",
"first_name": "ELAINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-27",
"last_updated": "2008-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": "1663",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810010637",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.