Active NPI
Elizabeth Dase Rack, MS CCC SLP
- Speech-Language Pathologist
- Walnut Creek, CA
National Provider Identifier
1912162249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 8783
- Practice address
- 2021 Ygnacio Valley Rd
Walnut Creek, CA 94598-3391 - Phone
- (925) 945-1474
- NPI assigned
- Jul 25, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 8783 | CA | Primary |
Addresses
Primary practice location
2021 Ygnacio Valley Rd
Walnut Creek, CA 94598-3391
Mailing address
899 Augusta Dr
Moraga, CA 94556-1049
Phone (925) 377-8122
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8783 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719792000000",
"number": "1912162249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "899 AUGUSTA DR",
"city": "MORAGA",
"state": "CA",
"postal_code": "945561049",
"telephone_number": "925-377-8122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 YGNACIO VALLEY RD",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945983391",
"telephone_number": "925-945-1474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RACK",
"first_name": "ELIZABETH",
"middle_name": "DASE",
"credential": "MS CCC SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-25",
"last_updated": "2024-07-01",
"certification_date": "2024-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "8783",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.