Active NPI
Ellen Bennett, PHD.
- Speech-Language Pathologist
- El Paso, TX
National Provider Identifier
1114075512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 109 S Festival Dr
El Paso
El Paso, TX 79912-5801 - Phone
- (915) 845-8787
- Fax
- (915) 821-5370
- NPI assigned
- Jan 8, 2007
- Last updated
- Aug 26, 2008
- 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 | Primary |
Addresses
Primary practice location
109 S Festival Dr
El Paso
El Paso, TX 79912-5801
Mailing address
109 S Festival Dr
El Paso
El Paso, TX 79912-5801
Phone (915) 845-8787
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 528347 | Other | TX | BCBS PROVIDER NO. |
| 742832177 | Other | TX | TAX IDENTIFICATION NUMBER |
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219708800000",
"number": "1114075512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 S FESTIVAL DR",
"address_2": "EL PASO",
"city": "EL PASO",
"state": "TX",
"postal_code": "799125801",
"telephone_number": "915-845-8787",
"fax_number": "915-821-5370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 S FESTIVAL DR",
"address_2": "EL PASO",
"city": "EL PASO",
"state": "TX",
"postal_code": "799125801",
"telephone_number": "915-845-8787",
"fax_number": "915-821-5370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "ELLEN",
"name_prefix": "Mrs.",
"credential": "PHD.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2008-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NO.",
"identifier": "528347",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX IDENTIFICATION NUMBER",
"identifier": "742832177",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
- Brenda N Benitez
- Maria Cristina Benitez, CHW
- Benjamin Clapp MD PA
- Benko Professional Services, LLC (Paso a Paso Integrated Wellness)
- Darrell Elliott Benko, AGPCNP-BC, PMHNP
- Jonathan C Bennett, CRNA
- Melissa Anne Bennett, LMT
- Kathleen Benson, RD, CSSD, LD, CPT
- Olajide Oladele Benson, MD
- Robert Wesley Benson II, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.