Individual provider Active NPI

Elizabeth Anne Dierschow, MA, CCC-SLP

  • Speech-Language Pathologist
  • Lakewood, CO
National Provider Identifier
1821663360
Registry record updated Nov 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP.0005395 Issued in CO
Practice address
451 S Otis St
Lakewood, CO 80226-3443
Phone
(303) 725-6949
NPI assigned
May 26, 2021
Last updated
Nov 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 09499 MD
Speech-Language Pathologist 235Z00000X SLP.0005395 CO Primary

Addresses

Primary practice location

451 S Otis St
Lakewood, CO 80226-3443

Mailing address

451 S Otis St
Lakewood, CO 80226-3443
Phone (303) 725-6949

Other practice location 1

9900 E Iliff Ave
Denver, CO 80231-3462
Phone (303) 636-5600

Other practice location 2

2525 S Wadsworth Blvd
Lakewood, CO 80227-3273
Phone (720) 962-4555

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
SLP.0005395COMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Dierschow CurrentSince Dec 1, 2024 Accepting new patients
Rocky Mountain Human Services Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 2

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": "1621987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732320000000",
    "number": "1821663360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 S OTIS ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802263443",
            "telephone_number": "303-725-6949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 S OTIS ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802263443",
            "telephone_number": "303-725-6949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9900 E Iliff Ave",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802313462",
            "country_code": "US",
            "telephone_number": "303-636-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2525 S Wadsworth Blvd",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802273273",
            "country_code": "US",
            "telephone_number": "720-962-4555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIERSCHOW",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-26",
        "last_updated": "2024-11-23",
        "certification_date": "2024-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "09499",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP.0005395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.