Active NPI
Elyse Catherine Pickwick
- Speech/Language/Hearing Specialist/Technologist
- New Haven, KY
National Provider Identifier
1740441625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech/Language/Hearing Specialist/Technologist
- License
- 000069926
- Practice address
- 7455 Howardstown Rd
New Haven, KY 40051-6505 - Phone
- (270) 735-2185
- Fax
- (270) 769-0183
- NPI assigned
- Jun 23, 2008
- 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/Hearing Specialist/Technologist | 235500000X | 000069926 | KY | Primary |
Addresses
Primary practice location
7455 Howardstown Rd
New Haven, KY 40051-6505
Mailing address
7455 Howardstown Rd
New Haven, KY 40051-6505
Phone (270) 735-2185
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
| License | State | Type | Specialty |
|---|---|---|---|
| 000069926 | KY | MD | Speech/Language/Hearing Specialist/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214179200000",
"number": "1740441625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7455 HOWARDSTOWN RD",
"city": "NEW HAVEN",
"state": "KY",
"postal_code": "400516505",
"telephone_number": "270-735-2185",
"fax_number": "270-769-0183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7455 HOWARDSTOWN RD",
"city": "NEW HAVEN",
"state": "KY",
"postal_code": "400516505",
"telephone_number": "270-735-2185",
"fax_number": "270-769-0183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICKWICK",
"first_name": "ELYSE",
"middle_name": "CATHERINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-23",
"last_updated": "2008-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "235500000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist",
"state": "KY",
"license": "000069926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Haven, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.