Emma Ellis, MA CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP3540 Issued in ME

Practice address

15 Saunders Way
Westbrook, ME 04092-4833

Phone

(207) 878-9663

NPI assigned

Aug 7, 2021

Last updated

Aug 7, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in ME

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Group practices

NR Maine LLCGroup PAC ID 0648783308, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• NR Maine LLC

  • Rehabilitation Clinic/Center
  • Scarborough, ME
  • NPI 1902616568
  Medicare reassignment Care Compare group NPD
• Goodwill Industries of Northern New England

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Portland, ME
  • NPI 1588785463
  Medicare reassignment
• NR Maine, LLC

  • Rehabilitation Clinic/Center
  • Augusta, ME
  • NPI 1255122818
  NPD

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

{
    "created_epoch": "1628294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628294400000",
    "number": "1891469326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 SHERMAN ST APT 3",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041015213",
            "telephone_number": "774-994-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SAUNDERS WAY",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040924833",
            "telephone_number": "207-878-9663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "EMMA",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-07",
        "last_updated": "2021-08-07",
        "certification_date": "2021-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP3540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Easy Life LLC
• Nicole Eckman, R.D., C.D.E.
• Eleanor Stanley
• Elizabeth Goodie-Selwood LCSW
• Benjamin James Elliott, PMHNP
• Elr Care Maine LLC (Dolley Farm Res Care)
• Elr Care Maine LLC (Rocky Hill Manor)
• Empire Residential Care LLC
• Esta Immediate Homecare
• Devon L Evans, MD

• Speech-Language Pathologist in Westbrook, ME
• Providers in Westbrook, ME by specialty
• Speech-Language Pathologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.