Individual provider Active NPI

Elizabeth Ann Tuell, MA CCC-SLP

  • Speech-Language Pathologist
  • Hurricane, WV
National Provider Identifier
1831225986
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP-0883 Issued in WV
Practice address
1019 Wethersfield Xing
Hurricane, WV 25526-8719
Phone
(304) 766-3997
Fax
(304) 757-4511
NPI assigned
Feb 25, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 SLP-0883 WV Primary

Addresses

Primary practice location

1019 Wethersfield Xing
Hurricane, WV 25526-8719

Mailing address

25 Stewart Park
Cross Lanes, WV 25313-1343
Phone (304) 776-6036

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-0883WVMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1172361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831225986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 STEWART PARK",
            "city": "CROSS LANES",
            "state": "WV",
            "postal_code": "253131343",
            "telephone_number": "304-776-6036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 WETHERSFIELD XING",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255268719",
            "telephone_number": "304-766-3997",
            "fax_number": "304-757-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUELL",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "SLP-0883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurricane, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.