Jessica J. Ellison, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

30002889 Issued in NC

Practice address

3006 Robin Terry CT
Charlotte, NC 28208-2475

Phone

(843) 291-5995

NPI assigned

Jun 20, 2022

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

• Jessica Jones Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Speech Bubbles, PLLC

  • Speech-Language Pathologist
  • Charlotte, NC
  • NPI 1588492680
  NPD Authorized official

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726963200000",
    "number": "1114658382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3006 ROBIN TERRY CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282082475",
            "telephone_number": "843-291-5995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3006 ROBIN TERRY CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282082475",
            "telephone_number": "843-291-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLISON",
        "first_name": "JESSICA",
        "middle_name": "J.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-20",
        "last_updated": "2024-09-22",
        "certification_date": "2024-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "30002889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "JONES",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Catherine Leigh Ellison, PA
• Cedrica Ellison
• Chataqua Denean Ellison
• Corey Jason Ellison, LPCA
• Erika Lynette Ellison, MD
• Kathleen Lloyd Ellison
• Ricky D. Ellsaesser, CRNA
• Alissa Kathleen Ellstrom, LCSW
• Sara Elmakawy, LCSWA
• Amanda Elmore

• Speech-Language Pathologist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2024; 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.