Individual provider Active NPI

Elisa Rae Rae Isabella-Valenzi, SLP

  • Speech-Language Pathologist
  • Ridgefield, CT
National Provider Identifier
1932428349
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
004232 Issued in CT
Practice address
137 Ethan Allen Hwy
Ridgefield, CT 06877-6238
Phone
(203) 559-9332
NPI assigned
May 25, 2010
Last updated
May 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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 004232 CT Primary

Addresses

Primary practice location

137 Ethan Allen Hwy
Ridgefield, CT 06877-6238

Mailing address

137 Ethan Allen Hwy Ste 1
Ridgefield, CT 06877-6238
Phone (203) 559-9332

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
004232CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
B.E.S.T Speech and Language Therapy LLC Speech-Language Pathologist CurrentSince Dec 22, 2024 Accepting new patients

Locations

137 Ethan Allen Hwy
Ste 1
Ridgefield, CT 06877
Phone (203) 464-9053

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1932428349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 ETHAN ALLEN HWY STE 1",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068776238",
            "telephone_number": "203-559-9332",
            "fax_number": "203-544-9826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 ETHAN ALLEN HWY",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068776238",
            "telephone_number": "203-559-9332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISABELLA-VALENZI",
        "first_name": "ELISA RAE",
        "middle_name": "RAE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-25",
        "last_updated": "2024-05-16",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "004232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.