Elizabeth J Proven, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

22004884A Issued in IN

Practice address

9031 Crystal Lake Dr
Indianapolis, IN 46240-6414

Phone

(574) 265-9338

Fax

(574) 587-9605

NPI assigned

Aug 18, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Elizabeth J Hann Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1720234156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9031 CRYSTAL LAKE DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462406414",
            "telephone_number": "574-265-9338",
            "fax_number": "574-265-9338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9031 CRYSTAL LAKE DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462406414",
            "telephone_number": "574-265-9338",
            "fax_number": "574-587-9605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9031 Crystal Lake Dr",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462406414",
            "country_code": "US",
            "telephone_number": "574-265-9338",
            "fax_number": "574-265-9338",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 W Adams St Apt 413",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606072933",
            "country_code": "US",
            "telephone_number": "574-265-9338",
            "fax_number": "574-265-9338",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 W Adams St Apt 413",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606072933",
            "country_code": "US",
            "telephone_number": "574-265-9338",
            "fax_number": "574-265-9338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PROVEN",
        "first_name": "ELIZABETH",
        "middle_name": "J",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-18",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242000963",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.011786",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22004884A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "HANN",
            "middle_name": "J",
            "credential": "M.A., CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Speech-Language Pathologist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; 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.