Individual provider Active NPI

Elizabeth Sternenberg Herndon, MCD, CCC-SLP

  • Speech-Language Pathologist
  • Montgomery, AL
National Provider Identifier
1962215699
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1469 Issued in AL
Practice address
7145 Halcyon Summit Dr
Montgomery, AL 36117-6971
Phone
(334) 244-3408
Fax
(334) 244-3906
NPI assigned
Jan 28, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X
Speech-Language Pathologist 235Z00000X 1469 AL Primary

Addresses

Primary practice location

7145 Halcyon Summit Dr
Montgomery, AL 36117-6971

Mailing address

PO Box 244023
Montgomery, AL 36124-4023
Phone (334) 344-3408

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

State licenses

LicenseStateTypeSpecialty
1469ALMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Auburn University at Montgomery Student Health Services PastSince Feb 2, 2025 Accepting new patients
Auburn University Montgomery Speech-Language Pathologist PastSince Feb 2, 2025 Accepting new patients

Organizations & group practices 2

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": "1738022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1962215699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 244023",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361244023",
            "telephone_number": "334-344-3408",
            "fax_number": "334-244-3906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7145 HALCYON SUMMIT DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361176971",
            "telephone_number": "334-244-3408",
            "fax_number": "334-244-3906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNDON",
        "first_name": "ELIZABETH",
        "middle_name": "STERNENBERG",
        "name_prefix": "Mrs.",
        "credential": "MCD, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "1469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.