Elisha Magnifico, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1111 Issued in NH

Practice address

70 Main Street
Suite 201
Peterborough, NH 03458-1238

Phone

(603) 924-7722

NPI assigned

Jan 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 8

Other names 1

• Elisha Magnifico Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Magnificent Kids LLC

  • Speech-Language Pathologist
  • Peterborough, NH
  • NPI 1346573730
  NPD (past) Authorized official

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376006400000",
    "number": "1992855613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71",
            "city": "PETERBOROUGH",
            "state": "NH",
            "postal_code": "034580071",
            "telephone_number": "603-924-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 MAIN STREET",
            "address_2": "SUITE 201",
            "city": "PETERBOROUGH",
            "state": "NH",
            "postal_code": "034581238",
            "telephone_number": "603-924-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGNIFICO",
        "first_name": "ELISHA",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2013-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NH",
            "license": "1111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99560056",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3074050",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "561822",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "66Y011091NH01",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "761242",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "272746",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMON TAX ID",
            "identifier": "020377315",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "626514",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISHA",
            "last_name": "MAGNIFICO",
            "credential": "MA/CCC-SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Joseph V Lupo, MD
• Cynthia Lynch, LICSW
• Nancy Lynch
• Victoria Jean Madden, LCMHC
• Magnificent Kids LLC
• Kaitlyn Jean Mahoney, MA CAGS
• Malone Bodywork
• Phillip Malone, LMT
• Manchester Urology Associates Professional Association
• Michelle Manseau, PHD

• Speech-Language Pathologist in Peterborough, NH
• Providers in Peterborough, NH by specialty
• Speech-Language Pathologist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2013; 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.