Elizabeth Lais Opena Tijiboy, MS, CCC- SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

17173 Issued in CA

Practice address

8484 Sun Berry CT
Elk Grove, CA 95624-1260

Phone

(510) 857-6554

NPI assigned

Sep 12, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Neural Pathways Speech Therapy Inc

  • Speech-Language Pathologist
  • Elk Grove, CA
  • NPI 1043060163
  NPD Authorized official

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1912629569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9444 HARBOUR POINT DR APT 100",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957583729",
            "telephone_number": "510-857-6554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8484 SUN BERRY CT",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956241260",
            "telephone_number": "510-857-6554"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1660 W Linne Rd Ste J-9",
            "address_purpose": "LOCATION",
            "city": "Tracy",
            "state": "CA",
            "postal_code": "953778024",
            "country_code": "US",
            "telephone_number": "209-340-9372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIJIBOY",
        "first_name": "ELIZABETH LAIS",
        "middle_name": "OPENA",
        "credential": "MS, CCC- SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "17173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thrive Home Health Care, Inc
• Moses Thuku
• Thuy T Ha OD Inc (VisionCare Optometry of Elk Grove)
• Julia T Tian, M.D.
• Daniel Scott Tiedeman, O.D.
• Andrea Tillis
• Johnny Lawrence Tillis
• Timberlake Family Practice a Medical Corporation
• Sarah Alayne Timberman, N.P.
• Antiniah Times

• Speech-Language Pathologist in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.

Verify at the official NPI Registry.