Active NPI
Elizabeth Lee Childs
- Speech-Language Pathologist
- Bradford, PA
National Provider Identifier
1700901733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL008686
- Practice address
- 100 Saint Francis Dr
Bradford, PA 16701-1868 - Phone
- (814) 368-5648
- NPI assigned
- Mar 20, 2007
- 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 | SL008686 | PA | Primary |
Addresses
Primary practice location
100 Saint Francis Dr
Bradford, PA 16701-1868
Mailing address
61 Congress St
Bradford, PA 16701-2222
Phone (585) 610-9263
Other names 1
- Elizabeth Lee Oldham
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395792000000",
"number": "1700901733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 CONGRESS ST",
"city": "BRADFORD",
"state": "PA",
"postal_code": "167012222",
"telephone_number": "585-610-9263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 SAINT FRANCIS DR",
"city": "BRADFORD",
"state": "PA",
"postal_code": "167011868",
"telephone_number": "814-368-5648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHILDS",
"first_name": "ELIZABETH",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2014-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL008686",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "OLDHAM",
"middle_name": "LEE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Bradford, PA
- Children'S Center for Treatment and Education
- Children'S Center for Treatment and Education
- Children'S Center for Treatment and Education
- Children'S Center for Treatment and Education
- Childrens Center for Treatment and Education
- Jennifer L Childs, RN, BSN
- City of Bradford
- Abbie Clark, DPT
- Steven C Cohen, O.D.
- Community Eye Care Specialists P C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.