Individual provider Active NPI

Elizabeth Lavella Perfitt, M.S., SLP

  • Speech-Language Pathologist
  • Portland, OR
National Provider Identifier
1548848708
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
15400 Issued in CA
Practice address
NE 65TH Avenue
Portland, OR 97213-9721
Phone
(503) 946-6907
NPI assigned
Mar 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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 15400 CA Primary

Addresses

Primary practice location

NE 65TH Avenue
Portland, OR 97213-9721

Mailing address

3304 Savage Ave
Pinole, CA 94564-1230
Phone (213) 265-5205

Other names 1

  • Libby Lavella-Perfitt Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Portland Direct

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
15400CAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1548848708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3304 SAVAGE AVE",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945641230",
            "telephone_number": "213-265-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NE 65TH AVENUE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972139721",
            "telephone_number": "503-946-6907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERFITT",
        "first_name": "ELIZABETH",
        "middle_name": "LAVELLA",
        "credential": "M.S., SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "15400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Portland",
            "affiliation": "N",
            "endpointDescription": "HIPPA aligned encryption",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Portland",
            "address_1": "NE 65th Avenue",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972139721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LIBBY",
            "last_name": "LAVELLA-PERFITT",
            "credential": "M.S., SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

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