Active NPI
Ellen J Pearson, MA CCC-SLP
- Speech-Language Pathologist
- Knoxville, TN
National Provider Identifier
1811938483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 00001278
- Practice address
- 103 Suburban Rd
Suite 101 D
Knoxville, TN 37923-5586 - Phone
- (865) 769-0283
- Fax
- (865) 769-0281
- NPI assigned
- Jun 8, 2006
- 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 | 00001278 | TN | Primary |
Addresses
Primary practice location
103 Suburban Rd
Suite 101 D
Knoxville, TN 37923-5586
Mailing address
8905 Colchester Ridge Rd
Knoxville, TN 37922-1410
Phone (865) 531-3097
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SP00001278 | Other | TN | LICENSE NUMBER |
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00001278 | TN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridgewater Speech & Hearing, Inc | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Audiologist
- Knoxville, TN
- NPI 1265560288
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1811938483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8905 COLCHESTER RIDGE RD",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379221410",
"telephone_number": "865-531-3097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 SUBURBAN RD",
"address_2": "SUITE 101 D",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379235586",
"telephone_number": "865-769-0283",
"fax_number": "865-769-0281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARSON",
"first_name": "ELLEN",
"middle_name": "J",
"credential": "MA CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-08",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TN",
"license": "00001278",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "SP00001278",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.