Individual provider Active NPI

Elizabeth A Crookshank, M.S. CF-SLP

  • Speech-Language Pathologist
  • Harrisonburg, VA
National Provider Identifier
1902154669
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202006544 Issued in VA
Practice address
1481 Virginia Ave
Harrisonburg, VA 22802-2433
Phone
(540) 438-4273
NPI assigned
Aug 28, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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 2202006544 VA Primary

Addresses

Primary practice location

1481 Virginia Ave
Harrisonburg, VA 22802-2433

Mailing address

1481 Virginia Ave
Harrisonburg, VA 22802-2433
Phone (540) 438-4273

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 Science

State licenses

LicenseStateTypeSpecialty
2202006544VAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Mennonite Home, Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1902154669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1481 VIRGINIA AVE",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228022433",
            "telephone_number": "540-438-4273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1481 VIRGINIA AVE",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228022433",
            "telephone_number": "540-438-4273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROOKSHANK",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "name_prefix": "Miss",
        "credential": "M.S. CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-28",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202006544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.