Angie Dawn Ellenbecker, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

ST5779 Issued in TN

Practice address

1994 Gallatin Pike N Ste 309
Madison, TN 37115-2025

Phone

(615) 596-1830

Fax

(615) 766-8277

NPI assigned

May 19, 2008

Last updated

Apr 12, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ellenbecker and Borsellino PLLC

  dba Talk to Me Speech Therapy TN

  • Speech-Language Pathologist
  • Madison, TN
  • NPI 1215499447

  Single Specialty

  Medicare reassignment NPD Authorized official
• Ellenbecker and Borsellino PLLC

  dba Talk to Me Speech Therapy

  • Speech-Language Pathologist
  • Goodlettsville, TN
  • NPI 1669639753
  NPD Authorized official

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555027200000",
    "number": "1457518417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 SALT LICK TRL",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723321",
            "telephone_number": "615-596-1830",
            "fax_number": "615-766-8277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1994 GALLATIN PIKE N STE 309",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371152025",
            "telephone_number": "615-596-1830",
            "fax_number": "615-766-8277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5008 Cascade Pools Ave",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891313626",
            "country_code": "US",
            "telephone_number": "702-203-7504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLENBECKER",
        "first_name": "ANGIE",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-19",
        "last_updated": "2019-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NV",
            "license": "1179",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "ST5779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457518417",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elbert E Jackson, DDS, PC
• Riley William Mattila Elder
• Erica Faye Eldridge, CPHT
• Elite Ultrasound Imaging, LLC
• Ellenbecker and Borsellino PLLC (Talk to Me Speech Therapy TN)
• Keaira Ellinger, RN, BSN
• Amanda Elliott, PHARM D
• Katie Elliott
• Sarah Sharp Elliott
• Michele Lee Ellis, BSW

• Speech-Language Pathologist in Madison, TN
• Providers in Madison, TN by specialty
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.