Active NPI
Andrea Elyse Ellington, M.S. CF-SLP
- Speech-Language Pathologist
- Dickson, TN
National Provider Identifier
1730701228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 8756
- Practice address
- 812 N Charlotte St
Dickson, TN 37055-1009 - Phone
- (615) 446-8046
- NPI assigned
- May 7, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 8756 | TN | Primary |
Addresses
Primary practice location
812 N Charlotte St
Dickson, TN 37055-1009
Mailing address
812 N Charlotte St
Dickson, TN 37055-1009
Phone (615) 446-8046
Other names 1
- Andrea Elyse Paulson
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 |
|---|---|---|---|
| 8756 | TN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720310400000",
"number": "1730701228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "812 N CHARLOTTE ST",
"city": "DICKSON",
"state": "TN",
"postal_code": "370551009",
"telephone_number": "615-446-8046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "812 N CHARLOTTE ST",
"city": "DICKSON",
"state": "TN",
"postal_code": "370551009",
"telephone_number": "615-446-8046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLINGTON",
"first_name": "ANDREA",
"middle_name": "ELYSE",
"credential": "M.S. CF-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-07",
"last_updated": "2024-07-07",
"certification_date": "2024-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TN",
"license": "8756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANDREA",
"last_name": "PAULSON",
"middle_name": "ELYSE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Dickson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.