Individual provider Active NPI

Elyse Centonze, M.A. CCC/SLP

  • Speech-Language Pathologist
  • Tarpon Springs, FL
National Provider Identifier
1811393218
Registry record updated Nov 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA3457 Issued in FL
Practice address
539 Bridle Path Way
Tarpon Springs, FL 34688-7234
Phone
(727) 946-2108
NPI assigned
Nov 12, 2014
Last updated
Nov 12, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2014

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 SA3457 FL Primary

Addresses

Primary practice location

539 Bridle Path Way
Tarpon Springs, FL 34688-7234

Mailing address

539 Bridle Path Way
Tarpon Springs, FL 34688-7234
Phone (727) 946-2108

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SA3457FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1415750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415750400000",
    "number": "1811393218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 BRIDLE PATH WAY",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346887234",
            "telephone_number": "727-946-2108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 BRIDLE PATH WAY",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346887234",
            "telephone_number": "727-946-2108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CENTONZE",
        "first_name": "ELYSE",
        "name_prefix": "Mrs.",
        "credential": "M.A. CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-12",
        "last_updated": "2014-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA3457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarpon Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; 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.