Active NPI
Ellen Stellburg, M.S. CCC-SLP
- Speech-Language Pathologist
- Tempe, AZ
National Provider Identifier
1730326331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP1847
- Practice address
- 8700 S Kyrene Rd
Tempe, AZ 85284-2108 - Phone
- (480) 783-2300
- NPI assigned
- Jan 19, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP1847 | AZ | Primary |
Addresses
Primary practice location
8700 S Kyrene Rd
Tempe, AZ 85284-2108
Mailing address
1843 E Greentree Dr
Tempe, AZ 85284-3435
Phone (480) 831-6191
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP1847 | AZ | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232323200000",
"number": "1730326331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1843 E GREENTREE DR",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852843435",
"telephone_number": "480-831-6191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8700 S KYRENE RD",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852842108",
"telephone_number": "480-783-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STELLBURG",
"first_name": "ELLEN",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-19",
"last_updated": "2009-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP1847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tempe, AZ
- Steven Joseph Stein
- Shawn Steinborn, NMD
- Bruce L Steinbrink, LPC
- Justine A Steiner, BS, BHT
- Veronica Steinhoff, BCBA, LBA
- Katy Christinn Stemple, MDA, RDN
- Donald Matthew Stenhoff, PHD, BCBA-D, LBA
- Ashley Stenner-Palacios, BA, RBT
- Jared Bennett Stenoien, CPHT
- Step by Step Health and Wellness Center LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.