Elyse Van Wagenen, MA CCC SLP
NPI 1346807476 · Speech-Language Pathologist · Bristol, FL
Elyse Van Wagenen, MA CCC SLP is a Speech-Language Pathologist provider in Bristol, FL (NPI 1346807476).
Provider details
- NPI number
- 1346807476
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- MA CCC SLP
- Sex
- Female
- Sole proprietor
- No
- License
- SLPCF000042 (DC)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Speech, Language and Hearing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 2600 Douglass Rd SeWashington, DC, DC 20020Phone: (850) 694-4429
- 2930 Capital Medical BlvdTallahassee, FL 32308-4408Phone: (850) 694-4420
Registry dates
- Enumerated
- 2019-05-23
- Last updated
- 2024-12-02
- Certified
- 2024-12-02
Frequently asked questions
- What is Elyse Van Wagenen's NPI number?
- Elyse Van Wagenen's National Provider Identifier (NPI) is 1346807476, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Elyse Van Wagenen's specialty?
- Elyse Van Wagenen is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist (Speech, Language and Hearing Service Providers).
- Where is Elyse Van Wagenen located?
- Elyse Van Wagenen's practice location on file with NPPES is 11287 Nw State Road 20, Bristol, FL 32321-3414.
- What is Elyse Van Wagenen's phone number?
- The practice phone number listed in the NPPES registry for Elyse Van Wagenen is (850) 694-4420.
- Is Elyse Van Wagenen's NPI active?
- Yes — Elyse Van Wagenen's NPI (1346807476) is active in the NPPES registry as of the last update on 2024-12-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.