Individual provider Active NPI

Elizabeth Nicole Lucarelli, MS, CCC-SLP

  • Speech-Language Pathologist
  • Columbus, OH
National Provider Identifier
1629355458
Registry record updated Nov 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.10036 Issued in OH
Practice address
6812 Clearhurst Dr
Columbus, OH 43229-7077
Phone
(330) 806-2499
NPI assigned
Nov 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2011

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 SP.10036 OH Primary

Addresses

Primary practice location

6812 Clearhurst Dr
Columbus, OH 43229-7077

Mailing address

6812 Clearhurst Dr
Columbus, OH 43229-7077
Phone (330) 806-2499

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

LicenseStateTypeSpecialty
SP.10036OHMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320710400000",
    "number": "1629355458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6812 CLEARHURST DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432297077",
            "telephone_number": "330-806-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6812 CLEARHURST DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432297077",
            "telephone_number": "330-806-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCARELLI",
        "first_name": "ELIZABETH",
        "middle_name": "NICOLE",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-08",
        "last_updated": "2011-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.10036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; 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.