Individual provider Active NPI

Elizabeth S Lindemann, MSP, CCC-SLP

  • Speech-Language Pathologist
  • Rock Hill, SC
National Provider Identifier
1720206956
Registry record updated Jul 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3901 Issued in SC
Practice address
1194 Thornwell Ave
Rock Hill, SC 29732-2326
Phone
(803) 553-8191
NPI assigned
Apr 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 3901 SC Primary
Speech-Language Pathologist 235Z00000X 7902 NC

Addresses

Primary practice location

1194 Thornwell Ave
Rock Hill, SC 29732-2326

Mailing address

1194 Thornwell Ave
Rock Hill, SC 29732-2326
Phone (803) 553-8191

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

State licenses

LicenseStateTypeSpecialty
7902NCMDOccupational Therapy Assistant
3901SCMDCertified Registered Nurse Anesthetist

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311811200000",
    "number": "1720206956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1194 THORNWELL AVE",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322326",
            "telephone_number": "803-553-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1194 THORNWELL AVE",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322326",
            "telephone_number": "803-553-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDEMANN",
        "first_name": "ELIZABETH",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "MSP, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2011-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "3901",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "7902",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.