Ellie C Smith, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202005245 Issued in VA

Practice address

1997 S Main St
Suite 601
Blacksburg, VA 24060-6635

Phone

(540) 961-1230

Fax

(540) 951-0613

NPI assigned

Jun 1, 2007

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

Other names 1

• Ellie C Justice Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258934400000",
    "number": "1639371685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1997 S MAIN ST",
            "address_2": "SUITE 601",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240606635",
            "telephone_number": "540-961-1230",
            "fax_number": "540-951-0613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1997 S MAIN ST",
            "address_2": "SUITE 601",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240606635",
            "telephone_number": "540-961-1230",
            "fax_number": "540-951-0613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ELLIE",
        "middle_name": "C",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2009-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202005245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLIE",
            "last_name": "JUSTICE",
            "middle_name": "C",
            "credential": "M.A., CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael E Slayton, M.D.
• Erin Slider
• Erika Elizabeth Sluss, BCBA
• Christopher Smallwood
• Cody Smith, DO
• Hudson Smith, LPC
• Kelly Smith
• Kendra Smith, LCSW
• Lanner Smith, OTR/L
• Mary Katie Smith, LPC

• Speech-Language Pathologist in Blacksburg, VA
• Providers in Blacksburg, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; 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.