Individual provider Active NPI

Ellen Merriweather Spaulding, CF

  • Speech-Language Pathologist
  • King and Queen Court House, VA
National Provider Identifier
1568213379
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2204001152 Issued in VA
Practice address
17152 The TRL
King and Queen Court House, VA 23085-2054
Phone
(804) 785-5830
NPI assigned
Mar 29, 2024
Last updated
Mar 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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 2204001152 VA Primary

Addresses

Primary practice location

17152 The TRL
King and Queen Court House, VA 23085-2054

Mailing address

1901 Shenandoah Ave
Richmond, VA 23226-1146
Phone (804) 347-6161

Other names 1

  • Ellie Spaulding 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

State licenses

LicenseStateTypeSpecialty
2204001152VAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1711670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1568213379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 SHENANDOAH AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261146",
            "telephone_number": "804-347-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17152 THE TRL",
            "city": "KING AND QUEEN COURT HOUSE",
            "state": "VA",
            "postal_code": "230852054",
            "telephone_number": "804-785-5830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAULDING",
        "first_name": "ELLEN",
        "middle_name": "MERRIWEATHER",
        "credential": "CF",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-29",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2204001152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLIE",
            "last_name": "SPAULDING",
            "credential": "CF",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in King and Queen Court House, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.