Active NPI
Elizabeth L. Phelan, SPEECH PATHOLOGIST
- Speech-Language Pathologist
- Beaumont, TX
National Provider Identifier
1811156987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 10645
- Practice address
- 4345 Phelan Blvd
Beaumont, TX 77707-2157 - Phone
- (409) 899-4099
- Fax
- (409) 899-4099
- NPI assigned
- Jun 4, 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 Pathologist | 235Z00000X | 10645 | TX | Primary |
Addresses
Primary practice location
4345 Phelan Blvd
Beaumont, TX 77707-2157
Mailing address
1005 N 7TH St
Silsbee, TX 77656-3826
Phone (409) 385-3510
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 |
|---|---|---|---|
| 10645 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silsbee Independent School District | Past | 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.
-
dba Project Search ECI
- Developmental Disabilities Clinic/Center
- Silsbee, TX
- NPI 1225151434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212537600000",
"number": "1811156987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 N 7TH ST",
"city": "SILSBEE",
"state": "TX",
"postal_code": "776563826",
"telephone_number": "409-385-3510",
"fax_number": "409-386-5751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4345 PHELAN BLVD",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777072157",
"telephone_number": "409-899-4099",
"fax_number": "409-899-4099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHELAN",
"first_name": "ELIZABETH",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "SPEECH PATHOLOGIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-04",
"last_updated": "2008-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "10645",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.