Elisabeth Porpylev

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

61104804 Issued in WA

Practice address

1707 9TH PL NE
Issaquah, WA 98029-7450

Phone

(425) 654-9568

NPI assigned

Nov 1, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Elisabeth Baker Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Speech Therapy by Elisabeth, LLC

  • Hearing and Speech Clinic/Center
  • Sammamish, WA
  • NPI 1912625823
  NPD Authorized official

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

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1760811608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 9TH PL NE",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980297450",
            "telephone_number": "425-654-9568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 9TH PL NE",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980297450",
            "telephone_number": "425-654-9568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORPYLEV",
        "first_name": "ELISABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-01",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "61104804",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242.002920",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISABETH",
            "last_name": "BAKER",
            "credential": "CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mitsuko Pollard, PH.D.
• Katherine Pond
• Deanna Poneman, D.C.
• Matthew Ponsford, M.A.
• Melissa Pontes
• Anna Powell
• Power Up Therapy, LLC
• Powers Enrichment Group Inc
• Prabhjot Sidhu, PLLC
• Erica Michelle Pratt, PHARMD

• Speech-Language Pathologist in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.