Individual provider Active NPI

Ellen Duda, SLP

  • Speech-Language Pathologist
  • Chandler, AZ
National Provider Identifier
1619861978
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP16200 Issued in AZ
Practice address
2141 E Pecos Rd
Chandler, AZ 85225-6077
Phone
(480) 846-0607
Fax
(480) 841-6696
NPI assigned
Jun 3, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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 SLP16200 AZ Primary

Addresses

Primary practice location

2141 E Pecos Rd
Chandler, AZ 85225-6077

Mailing address

2141 E Pecos Rd
Chandler, AZ 85225-6077
Phone (480) 846-0607

Other practice location 1

2121 E Pecos Rd Ste 2&3
Chandler, AZ 85225-6075
Phone (480) 846-0607

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
SLP16200AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bloomkidz Inc. Speech-Language Pathologist CurrentSince Jun 8, 2025 Accepting new patients
Bloomkidz Inc. Speech-Language Pathologist Past Accepting new patients

Locations

2121 E Pecos Rd
Ste 23
Chandler, AZ 85225
Phone (480) 846-0607

2141 E Pecos Rd
Chandler, AZ 85225
Phone (480) 846-0607

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1748908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1619861978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2141 E PECOS RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852256077",
            "telephone_number": "480-846-0607",
            "fax_number": "480-841-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 E PECOS RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852256077",
            "telephone_number": "480-846-0607",
            "fax_number": "480-841-6696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2121 E Pecos Rd Ste 2&3",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852256075",
            "country_code": "US",
            "telephone_number": "480-846-0607",
            "fax_number": "480-841-6696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUDA",
        "first_name": "ELLEN",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-03",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP16200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; 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.