Individual provider Active NPI

Elizabeth Cox Nurrenbrock, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Ponte Vedra Beach, FL
National Provider Identifier
1831642297
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA14814 Issued in FL
Practice address
141 Turtle Cove CT
Ponte Vedra Beach, FL 32082-4517
Phone
(904) 887-9844
NPI assigned
Aug 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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 SA14814 FL Primary

Addresses

Primary practice location

141 Turtle Cove CT
Ponte Vedra Beach, FL 32082-4517

Mailing address

141 Turtle Cove CT
Ponte Vedra Beach, FL 32082-4517
Phone (904) 887-9844

Other identifiers 1

IdentifierTypeStateIssuer
018337300MedicaidFL

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
SA14814FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1831642297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 TURTLE COVE CT",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320824517",
            "telephone_number": "904-887-9844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 TURTLE COVE CT",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320824517",
            "telephone_number": "904-887-9844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NURRENBROCK",
        "first_name": "ELIZABETH",
        "middle_name": "COX",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-02",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA14814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018337300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponte Vedra Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.