Ellyn Baergen, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA6364 Issued in FL

Practice address

8584 Eden Isles LN
Merritt Island, FL 32952-6800

Phone

(321) 795-6007

Fax

(321) 779-1332

NPI assigned

Oct 18, 2008

Last updated

Oct 18, 2008By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• PTS Staffing LLC

  • Physical Therapist
  • Merritt Island, FL
  • NPI 1205037793
  NPD (past)

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

{
    "created_epoch": "1224288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224288000000",
    "number": "1487806659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8584 EDEN ISLES LN",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329526800",
            "telephone_number": "321-795-6007",
            "fax_number": "321-779-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8584 EDEN ISLES LN",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329526800",
            "telephone_number": "321-795-6007",
            "fax_number": "321-779-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAERGEN",
        "first_name": "ELLYN",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-18",
        "last_updated": "2008-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA6364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Atlantic Coast Pediatrics, M.D. P.a.
• Karin A Atwell, LMT
• Karyna Auletta
• Avalon Wellness Services LLC
• Az Health Solutions, LLC
• Laura Elizabeth Baffa
• Joshua Bailey
• Opal Bailey
• Samuel Bailey
• Amber Baker, RN

• Speech-Language Pathologist in Merritt Island, FL
• Providers in Merritt Island, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.

Verify at the official NPI Registry.