Individual provider Active NPI

Elizabeth Walker, SLP

  • Speech-Language Pathologist
  • Webster, TX
National Provider Identifier
1609356229
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
114080 Issued in TX
Practice address
617 Cole St
Webster, TX 77598-4903
Phone
(281) 824-1000
Fax
(281) 562-7840
NPI assigned
Aug 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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 114080 TX Primary

Addresses

Primary practice location

617 Cole St
Webster, TX 77598-4903

Mailing address

409 Greene St
Webster, TX 77598-6701

Other practice location 1

409 Greene St
Webster, TX 77598-6701
Phone (281) 332-4738

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240227004346 LA Practitioner - Qualified Speech Language Pathologist 6901280478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synergy Care Southeast LLCGroup PAC ID 6204079163, 193 clinicians

Practice addresses (Care Compare)

5522 Ambassador Caffery Pkwy
Youngsville, LA 70592-5279
Phone (337) 703-6300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9219LAMDProfessional Counselor
14080TXMDDental Hygienist
114080TXMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Care Southeast LLC Speech-Language Pathologist CurrentSince Feb 1, 2024 Accepting new patients
Wells Allergy and Pediatric Associates, PLLC CurrentSince Oct 23, 2022 Accepting new patients
Synergy Care Southeast, LLC Speech-Language Pathologist CurrentSince Feb 1, 2024 Accepting new patients

Locations

127 W Broad St
Ste 850
Lake Charles, LA 70601
Phone (337) 310-8500

617 Cole St
Webster, TX 77598
Phone (281) 338-6509

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1609356229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 GREENE ST",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775986701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 COLE ST",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984903",
            "telephone_number": "281-824-1000",
            "fax_number": "281-562-7840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "409 Greene St",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "TX",
            "postal_code": "775986701",
            "country_code": "US",
            "telephone_number": "281-332-4738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "ELIZABETH",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-14",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "114080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.