Active NPI
Elizabeth Jean Todd, M.S., CCC-SLP
- Speech-Language Pathologist
- Desoto, TX
National Provider Identifier
1578864419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 10113
- Practice address
- 1425 Cassandra Cir
Desoto, TX 75115-3010 - Phone
- (214) 402-4469
- NPI assigned
- Nov 9, 2010
- 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 | 10113 | TX | Primary |
Addresses
Primary practice location
1425 Cassandra Cir
Desoto, TX 75115-3010
Mailing address
3851 FM 663
Midlothian, TX 76065-5606
Phone (214) 402-4469
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 280514501 | Medicaid | TX |
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 |
|---|---|---|---|
| 10113 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Speech Pathways PLLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
3851 FM 663
Midlothian, TX 76065
Phone (469) 550-9913
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Speech-Language Pathologist
- Midlothian, TX
- NPI 1467058289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643328000000",
"number": "1578864419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3851 FM 663",
"city": "MIDLOTHIAN",
"state": "TX",
"postal_code": "760655606",
"telephone_number": "214-402-4469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 CASSANDRA CIR",
"city": "DESOTO",
"state": "TX",
"postal_code": "751153010",
"telephone_number": "214-402-4469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TODD",
"first_name": "ELIZABETH",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-09",
"last_updated": "2022-01-28",
"certification_date": "2022-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "10113",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "280514501",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Desoto, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.