Individual provider Active NPI

Elizabeth Baker Dasher, MS, CCC-SLP

  • Speech-Language Pathologist
  • Stedman, NC
National Provider Identifier
1982147278
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
12192 Issued in NC
Practice address
6308 Anise LN
Stedman, NC 28391-1300
Phone
(910) 260-0969
NPI assigned
Nov 18, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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 SLP012647 GA
Speech-Language Pathologist 235Z00000X 12192 NC Primary

Addresses

Primary practice location

6308 Anise LN
Stedman, NC 28391-1300

Mailing address

6308 Anise LN
Stedman, NC 28391-1300
Phone (910) 260-0969

Other practice location 1

6689 Lake Park Rd
Lake Park, GA 31636-4505
Phone (910) 260-0969

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

LicenseStateTypeSpecialty
12192NCMDGeneral Practice Dentistry
SLP012647GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Infinity Speech LLC Speech-Language Pathologist CurrentSince Apr 14, 2024 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1479427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1982147278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6308 ANISE LN",
            "city": "STEDMAN",
            "state": "NC",
            "postal_code": "283911300",
            "telephone_number": "910-260-0969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6308 ANISE LN",
            "city": "STEDMAN",
            "state": "NC",
            "postal_code": "283911300",
            "telephone_number": "910-260-0969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6689 Lake Park Rd",
            "address_purpose": "LOCATION",
            "city": "Lake Park",
            "state": "GA",
            "postal_code": "316364505",
            "country_code": "US",
            "telephone_number": "910-260-0969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DASHER",
        "first_name": "ELIZABETH",
        "middle_name": "BAKER",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-18",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP012647",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "12192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stedman, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.