Ellyse Vivian Girod, SLPA

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

8021 Issued in AZ

Practice address

1502 W Saint Lucia Dr
Gilbert, AZ 85233-6532

Phone

(650) 430-2873

NPI assigned

Oct 17, 2012

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1669725495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 W SAINT LUCIA DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852336532",
            "telephone_number": "650-430-2873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 W SAINT LUCIA DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852336532",
            "telephone_number": "650-430-2873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIROD",
        "first_name": "ELLYSE",
        "middle_name": "VIVIAN",
        "name_prefix": "Mrs.",
        "credential": "SLPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-17",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "8021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Gilmour, RBT
• Denise Ellen Gilmour, M.C.
• Alexandria G Ginn, FNP
• Keith D Ginsberg, D.O.
• Annie Girard, PH.D.
• Julia Nyawira Gitau, DNP, FNP-C
• Michael Givens Jr., M.D.
• GJB Health and Wellness
• Natalie Claire Glade
• Emily Ann Glandon

• Speech-Language Assistant in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Speech-Language Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; 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.