Individual provider Active NPI

Elizabeth Hannah Crep

  • Speech-Language Pathologist
  • West Miami, FL
National Provider Identifier
1679138648
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA21208 Issued in FL
Practice address
6237 SW 13TH St
West Miami, FL 33144-5603
Phone
(305) 215-1770
NPI assigned
May 6, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X
Speech-Language AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 2355S0801X SI3949 FL
Early Intervention Provider Agency 252Y00000X
Speech-Language Pathologist 235Z00000X SA21208 FL Primary

Addresses

Primary practice location

6237 SW 13TH St
West Miami, FL 33144-5603

Mailing address

6237 SW 13TH St
West Miami, FL 33144-5603
Phone (305) 215-1770

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231002002195 FL Practitioner - Qualified Speech Language Pathologist 1052765583 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SLP Care, IncGroup PAC ID 1951784990, 3 clinicians

Practice addresses (Care Compare)

4110 Aurora St
Coral Gables, FL 33146-1416
Phone (305) 218-8929

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SI3949FLMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gables Speech Inc CurrentSince Mar 5, 2023 Accepting new patients
SLP Care, Inc Single Specialty CurrentSince Sep 19, 2023 Accepting new patients
Coral Gables Physical Therapy, L.L.C. PastSince Jul 21, 2024 Accepting new patients

Locations

4110 Aurora St
Coral Gables, FL 33146
Phone (305) 218-8929

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": "1557100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1679138648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6237 SW 13TH ST",
            "city": "WEST MIAMI",
            "state": "FL",
            "postal_code": "331445603",
            "telephone_number": "305-215-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6237 SW 13TH ST",
            "city": "WEST MIAMI",
            "state": "FL",
            "postal_code": "331445603",
            "telephone_number": "305-215-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREP",
        "first_name": "ELIZABETH",
        "middle_name": "HANNAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-06",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "SI3949",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA21208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.