Active NPI
Elizabeth Frances Van Engen, M.S. CCC- SLP
- Speech-Language Pathologist
- Fond Du Lac, WI
National Provider Identifier
1558048603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 480 E Division St
Fond Du Lac, WI 54935-3734 - Phone
- (920) 929-2300
- NPI assigned
- Jun 30, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
480 E Division St
Fond Du Lac, WI 54935-3734
Mailing address
430 E Division St
Fond Du Lac, WI 54935-4560
Phone (920) 926-5370
Other practice location 1
3330 Stahl Rd
Sheboygan, WI 53081-8862
Phone (920) 459-3500
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779408000000",
"number": "1558048603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 E DIVISION ST",
"city": "FOND DU LAC",
"state": "WI",
"postal_code": "549354560",
"telephone_number": "920-926-5370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "480 E DIVISION ST",
"city": "FOND DU LAC",
"state": "WI",
"postal_code": "549353734",
"telephone_number": "920-929-2300"
}
],
"practiceLocations": [
{
"address_1": "3330 Stahl Rd",
"address_purpose": "LOCATION",
"city": "Sheboygan",
"state": "WI",
"postal_code": "530818862",
"country_code": "US",
"telephone_number": "920-459-3500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VAN ENGEN",
"first_name": "ELIZABETH",
"middle_name": "FRANCES",
"credential": "M.S. CCC- SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-30",
"last_updated": "2026-05-22",
"certification_date": "2026-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fond Du Lac, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.