Individual provider Active NPI

Elizabeth Diane Stetzel, M.S.CCC-SLP

  • Speech-Language Pathologist
  • Oak Ridge, TN
National Provider Identifier
1831379494
Registry record updated Nov 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3739 Issued in TN
Practice address
790 Emory Valley Rd
#916
Oak Ridge, TN 37830-6523
Phone
(886) 522-8062
NPI assigned
Nov 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 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 3739 TN Primary

Addresses

Primary practice location

790 Emory Valley Rd
#916
Oak Ridge, TN 37830-6523

Mailing address

790 Emory Valley Rd
#916
Oak Ridge, TN 37830-6523
Phone (886) 522-8062

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
3739TNMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1194739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194739200000",
    "number": "1831379494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 EMORY VALLEY RD",
            "address_2": "#916",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306523",
            "telephone_number": "886-522-8062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 EMORY VALLEY RD",
            "address_2": "#916",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306523",
            "telephone_number": "886-522-8062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STETZEL",
        "first_name": "ELIZABETH",
        "middle_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "M.S.CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-11",
        "last_updated": "2007-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "3739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Ridge, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.