Individual provider Active NPI

Elizabeth Aislynne Christensen, MA/CCC-SLP/L, ATP

  • Speech-Language Pathologist
  • Brookfield, IL
National Provider Identifier
1730358367
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146-004732 Issued in IL
Practice address
3731 Blanchan Ave
Brookfield, IL 60513-1503
Phone
(708) 408-9819
Fax
(708) 854-0035
NPI assigned
Feb 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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 146-004732 IL Primary

Addresses

Primary practice location

3731 Blanchan Ave
Brookfield, IL 60513-1503

Mailing address

3731 Blanchan Ave
Brookfield, IL 60513-1503
Phone (708) 408-9819

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170802003701 IL Practitioner - Qualified Speech Language Pathologist 6103197579 Reassigns benefits to 1 organization
Practice locations: Brookfield, IL

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3731 Blanchan Ave
Brookfield, IL 60513-1503
Phone (708) 408-9819

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
146-004732ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Aac Helper, LLC Speech-Language Pathologist CurrentSince Jan 1, 2020 Accepting new patients

Organizations & group practices 1

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": "1204156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1730358367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3731 BLANCHAN AVE",
            "city": "BROOKFIELD",
            "state": "IL",
            "postal_code": "605131503",
            "telephone_number": "708-408-9819",
            "fax_number": "708-854-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3731 BLANCHAN AVE",
            "city": "BROOKFIELD",
            "state": "IL",
            "postal_code": "605131503",
            "telephone_number": "708-408-9819",
            "fax_number": "708-854-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "ELIZABETH",
        "middle_name": "AISLYNNE",
        "credential": "MA/CCC-SLP/L, ATP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-28",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146-004732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.