Individual provider Active NPI

Elizabeth A Clifford-Grifasi

  • Speech-Language Pathologist
  • Albuquerque, NM
National Provider Identifier
1801974738
Registry record updated Mar 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
53475062 Issued in NM
Practice address
9912 Academy Knolls Dr NE
Albuquerque, NM 87111-1733
Phone
(505) 507-2384
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2017

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 53475062 NM Primary

Addresses

Primary practice location

9912 Academy Knolls Dr NE
Albuquerque, NM 87111-1733

Mailing address

9912 Academy Knolls Dr NE
Albuquerque, NM 87111

Other identifiers 1

IdentifierTypeStateIssuer
53475062OtherNMLICENSE

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
53475062NMMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489449600000",
    "number": "1801974738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9912 ACADEMY KNOLLS DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9912 ACADEMY KNOLLS DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871111733",
            "telephone_number": "505-507-2384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLIFFORD-GRIFASI",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2017-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "53475062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "53475062",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; 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.