Active NPI
Elleana Chalil
- Speech-Language Pathologist
- Charlotte, NC
National Provider Identifier
1003365701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 15376
- Practice address
- 4421 Stuart Andrew Blvd
Charlotte, NC 28217-1589 - Phone
- (980) 343-6960
- NPI assigned
- Sep 23, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 15376 | NC | Primary |
Addresses
Primary practice location
4421 Stuart Andrew Blvd
Charlotte, NC 28217-1589
Mailing address
800 Blackburn CT
Charlotte, NC 28209-4065
Phone (631) 902-0015
Other practice location 1
121 S Euclid Ave
Westfield, NJ 07090-2129
Phone (800) 742-7551
Other names 1
- Elleana Goldman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15376 | NC | MD | Speech-Language Pathologist |
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.
-
- Audiologist
- Westfield, NJ
- NPI 1134129067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779926400000",
"number": "1003365701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 BLACKBURN CT",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282094065",
"telephone_number": "631-902-0015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4421 STUART ANDREW BLVD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282171589",
"telephone_number": "980-343-6960"
}
],
"practiceLocations": [
{
"address_1": "121 S Euclid Ave",
"address_purpose": "LOCATION",
"city": "Westfield",
"state": "NJ",
"postal_code": "070902129",
"country_code": "US",
"telephone_number": "800-742-7551",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHALIL",
"first_name": "ELLEANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-23",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "15376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELLEANA",
"last_name": "GOLDMAN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.