Elizabeth Wise

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.014324 Issued in IL

Practice address

1122 S 216TH St
Des Moines, WA 98198-8301

Phone

(206) 878-8915

NPI assigned

Jan 28, 2019

Last updated

Jan 28, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1548633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548633600000",
    "number": "1902360555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 N WALNUT ST",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262635",
            "telephone_number": "630-441-0637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 S 216TH ST",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981988301",
            "telephone_number": "206-878-8915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-28",
        "last_updated": "2019-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL60875357",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.014324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rita L Whitman
• Jessica Whitsitt, RN
• Tonisha Williams
• Siao Wilson
• Tracy Allison Wilton, L.M.P.
• Steven G Wittrock, PT
• Allison Woerpel
• Tenaye Woldesilasie, RN
• Albert Wong, DMD, MPH
• Injune Hansie Wong, M.D.

• Speech-Language Pathologist in Des Moines, WA
• Providers in Des Moines, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; 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.