Susan Ellis

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

Practice address

1000 Brookhaven Dr
Aiken, SC 29803-2109

Phone

(803) 641-2624

NPI assigned

Dec 10, 2013

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Aiken County Public Schools

  • Bus
  • Aiken, SC
  • NPI 1376593798
  NPD (past)

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

{
    "created_epoch": "1386633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386633600000",
    "number": "1952732497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BROOKHAVEN DR",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298032109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BROOKHAVEN DR",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298032109",
            "telephone_number": "803-641-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "SUSAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-10",
        "last_updated": "2013-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherry Ann Eldredge, RN
• Edwin Larry Elledge
• Andrea Ellis
• Harriet J Ellis, RN
• Kim Marie Ellis, NP-C
• Emerald'S Mobile Phlebotomy Service
• Empyrean Hospice of South Carolina, LLC
• Diamone Engram
• Enlightened Mind Counseling LLC
• Jacqueline K Enlund, MPH RDN LD

• Speech-Language Assistant in Aiken, SC
• Providers in Aiken, SC by specialty
• Speech-Language Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; 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.