Individual provider Active NPI

Ellen Gleimer-Hustead

  • Speech-Language Pathologist
  • Thousand Oaks, CA
National Provider Identifier
1447616396
Registry record updated Jan 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
9144 Issued in CA
Practice address
43 W Gainsborough Rd
Thousand Oaks, CA 91360-3561
Phone
(805) 300-4058
NPI assigned
Jan 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 9144 CA Primary

Addresses

Primary practice location

43 W Gainsborough Rd
Thousand Oaks, CA 91360-3561

Mailing address

43 W Gainsborough Rd
Thousand Oaks, CA 91360-3561

Other names 1

  • Ellen F Hustead Other name

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

NPI Registry JSON

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

{
    "created_epoch": "1452124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452124800000",
    "number": "1447616396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 W GAINSBOROUGH RD",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913603561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 W GAINSBOROUGH RD",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913603561",
            "telephone_number": "805-300-4058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLEIMER-HUSTEAD",
        "first_name": "ELLEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-07",
        "last_updated": "2016-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "9144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "HUSTEAD",
            "middle_name": "F",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; 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.