Active NPI
Ellie Woodford, SLP
- Speech-Language Pathologist
- Highland Hills, OH
National Provider Identifier
1104448497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP13848
- Practice address
- 4255 Northfield Rd
Highland Hills, OH 44128-2811 - Phone
- (216) 292-9700
- Fax
- (216) 378-4613
- NPI assigned
- May 11, 2020
- 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 | SP13848 | OH | Primary |
Addresses
Primary practice location
4255 Northfield Rd
Highland Hills, OH 44128-2811
Mailing address
4255 Northfield Rd
Highland Hills, OH 44128-2811
Phone (216) 292-9700
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP13848 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589155200000",
"number": "1104448497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4255 NORTHFIELD RD",
"city": "HIGHLAND HILLS",
"state": "OH",
"postal_code": "441282811",
"telephone_number": "216-292-9700",
"fax_number": "216-378-4613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4255 NORTHFIELD RD",
"city": "HIGHLAND HILLS",
"state": "OH",
"postal_code": "441282811",
"telephone_number": "216-292-9700",
"fax_number": "216-378-4613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODFORD",
"first_name": "ELLIE",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-11",
"last_updated": "2020-05-11",
"certification_date": "2020-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP13848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Highland Hills, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.