Tara Kay Ellis, M.S.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

5066 Issued in OK

Practice address

1211 S 29TH St
Chickasha, OK 73018-9651

Phone

(405) 224-0002

Fax

(405) 224-0133

NPI assigned

Feb 1, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1359676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1972842532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 S 29TH ST",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730189651",
            "telephone_number": "405-224-0002",
            "fax_number": "405-224-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 S 29TH ST",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730189651",
            "telephone_number": "405-224-0002",
            "fax_number": "405-224-0133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1628 S 15th St",
            "address_purpose": "LOCATION",
            "city": "Chickasha",
            "state": "OK",
            "postal_code": "730185420",
            "country_code": "US",
            "telephone_number": "405-274-1044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "TARA",
        "middle_name": "KAY",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-01",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "5066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Eddy, M.S.
• Kaysi Don Edmonds, MED CCC-SLP
• Amanda Edmondson
• Phyllis Jean Edwards, LPC
• Colette Leonie Ellis, M.ED.,CCC-SLP
• Angela Ellison
• Jerome Jay Ersland, DPH PHD
• Marian Pilar Escobar, M.D.
• Thomas Essex, D.O.
• Karen S Evanson, M.ED., LPC

• Speech-Language Pathologist in Chickasha, OK
• Providers in Chickasha, OK by specialty
• Speech-Language Pathologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; 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.