Nutthagrita Vivian Eller, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

40552 Issued in CA

Practice address

2109 Otoole Ave Ste M
San Jose, CA 95131-1338

Phone

(408) 573-7720

Fax

(408) 753-9555

NPI assigned

Jul 6, 2022

Reactivated

Dec 9, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Vivian Eller Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Walee Speech Therapy, PC

  • Speech-Language Pathologist
  • San Jose, CA
  • NPI 1265398598
  NPD Authorized official
• Child Communication and Behavior Specialists

  • Community/Behavioral Health Agency
  • San Jose, CA
  • NPI 1497189310

  Behavior Technician

  NPD
• Pediatric Play Therapy

  • Pediatric Occupational Therapist
  • San Jose, CA
  • NPI 1730066960

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1083347165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 OTOOLE AVE STE M",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951311338",
            "telephone_number": "408-573-7720",
            "fax_number": "408-753-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 OTOOLE AVE STE M",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951311338",
            "telephone_number": "408-573-7720",
            "fax_number": "408-753-9555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2066 N Capitol Ave # 9025",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951321015",
            "country_code": "US",
            "telephone_number": "415-857-5783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLER",
        "first_name": "NUTTHAGRITA",
        "middle_name": "VIVIAN",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-06",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "deactivation_date": "2025-10-27",
        "reactivation_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "40552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIVIAN",
            "last_name": "ELLER",
            "credential": "MS, CCC-SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Yasmeen Elkadi
• Dalia Nashaat Elkassrawy I, BCBA
• Sharon Elkins
• Tyler Ell
• David J Eller, M.D.
• Elizabeth Elliot-Staggs, LMFT
• Anne Elizabeth Elliott, OTR/L
• David Elliott, MSW
• Jackelin Elliott
• Kyle Eugene Elliott, D.C.

• Speech-Language Pathologist in San Jose, CA
• Providers in San Jose, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; 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.