Stephanie Ellis
Individual provider Active NPI Speech-Language Pathologist · Wakefield, NE
NPI 1154770345 · NPPES record last updated Oct 28, 2025
Key facts
- NPI
- 1154770345
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 060 (SD)
- Practice address
- 211 10TH St
Wakefield, NE 68784-5014 - Phone
- (402) 287-2061
- NPI assigned
- Jun 8, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 060 | SD | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 060 | SD | Yes |
Addresses
Primary practice location
211 10TH St
Wakefield, NE 68784-5014
Mailing address
216 N Janda Ave
Tabor, SD 57063-2011
Phone (605) 660-9488
Other providers in Wakefield, NE
- Nancy Dean
- Melissa Dobbins
- Jayden Tyler Dotson
- Rebecca Eckhardt
- Educational Service Unit #1
- Jessica Jill Fischer
- Allyson Ashley Flynn
- Allise Free
- Julieta Fregoso
- Ellie Frevert
All providers in Wakefield, NE · Speech-Language Pathologist in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.