Individual provider Active NPI

Ellen J Pearson, MA CCC-SLP

  • Speech-Language Pathologist
  • Knoxville, TN
National Provider Identifier
1811938483
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
00001278 Issued in TN
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

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
SP00001278OtherTNLICENSE 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

LicenseStateTypeSpecialty
00001278TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.