Individual provider Active NPI

Elizabeth Ann Fonzi, SLP

  • Speech-Language Pathologist
  • Columbus, OH
National Provider Identifier
1770767626
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
12064036 Issued in OH
Practice address
6660 Doubletree Ave
Columbus, OH 43229-1128
Phone
(614) 844-5433
Fax
(614) 987-8643
NPI assigned
Dec 27, 2007
Last updated
Feb 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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 12064036 OH Primary

Addresses

Primary practice location

6660 Doubletree Ave
Columbus, OH 43229-1128

Mailing address

2 Village SQ Ste 210
Baltimore, MD 21210-1624
Phone (614) 844-5433

Other names 1

  • Elizabeth Ann Nash Former name

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
12064036OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Learning Spectrum, LLC Speech-Language Pathologist CurrentSince May 7, 2024 Accepting new patients

Locations

2 Village Sq
Ste 210
Baltimore, MD 21210

6355 Winchester Blvd
Canal Winchester, OH 43110
Phone (614) 834-1114

125 Dillmont Dr
Columbus, OH 43235
Phone (614) 844-5433

6660 Doubletree Ave
Columbus, OH 43229
Phone (614) 844-5433

3060 Johnstown Utica Rd
Johnstown, OH 43031
Phone (740) 759-7059

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1770767626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 VILLAGE SQ STE 210",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212101624",
            "telephone_number": "614-844-5433",
            "fax_number": "614-987-8643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6660 DOUBLETREE AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432291128",
            "telephone_number": "614-844-5433",
            "fax_number": "614-987-8643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONZI",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-27",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "12064036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "NASH",
            "middle_name": "ANN",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.