Jennifer L Elomaa, MSCCCSLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP00951 Issued in RI

Practice address

1000 Eddy St
Providence, RI 02905-4739

Phone

(401) 533-9100

NPI assigned

Sep 24, 2007

Last updated

Sep 24, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Meeting Street Center

  • Hearing and Speech Clinic/Center
  • Providence, RI
  • NPI 1063534790
  NPD (past)
• Meeting Street Center

  • Multi-Specialty Clinic/Center
  • Providence, RI
  • NPI 1154443885
  NPD (past)

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190592000000",
    "number": "1629264569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 EDDY ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029054739",
            "telephone_number": "401-533-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 EDDY ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029054739",
            "telephone_number": "401-533-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELOMAA",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "MSCCCSLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-24",
        "last_updated": "2007-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "RI",
            "license": "SP00951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9009994",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED",
            "identifier": "4600103",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP",
            "identifier": "2058",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "99947",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elmwood Health Center Inc (Elmwood Nursing & Rehabilitation Center)
• Elmwood Home Care, Inc.
• Elmwood Medical Transportation Services
• Elmwood Orthopedic Rehab Center, Inc.
• Radowan Ali Mahgoub Elnair, MD
• Mohamed Wagdy Mohamed Elsayed, MD
• Rawda Badawy Elsayed
• Dalal Hassan Elsori, M.D.
• Michael J Eltz, PH.D.
• Susan P Emaus, PA C

• Speech-Language Pathologist in Providence, RI
• Providers in Providence, RI by specialty
• Speech-Language Pathologist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; 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.