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Deactivated NPI 1083347165 Deactivated / Inactive NPI Female Practitioner

Nutthagrita Vivian Eller , MS, CCC-SLP

Speech-Language Pathologist • San Jose, CA

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Nutthagrita Eller has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 06, 2022
NPI Deactivation Date October 27, 2025
Total Practice Duration ~3 Years of Practice (2022 – 2025)

Professional Overview & Biography Verified Profile Summary

Nutthagrita Eller, MS, CCC-SLP was a registered Speech-Language Pathologist practicing in San Jose, CA. Throughout an active medical career spanning 3 years, Nutthagrita Eller provided care at the practice location at 2109 OTOOLE AVE STE M until profile deactivation on 2025-10-27.

Practice Location & Contact Primary Location

Practice Address

2109 Otoole Ave Ste M

San Jose, CA 951311338

Telephone 4085737720
Fax 4087539555
Associated Practice Facility / Clinic
🏢 Pediatric Play Therapy Facility NPI 1730066960

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in San Jose, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.6 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
299 Specialists

Practicing in San Jose, CA (13280 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-02-02
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License CA 40552

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Secondary Practice Locations

2066 N Capitol Ave # 9025

San Jose, CA 951321015

Phone: 4158575783

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

16 Associated Practitioners
Morgan Shuster

Speech-Language Pathologist

NPI 1063053130
Leticia Vargas , OTR, L

Occupational Therapist - Pediatrics

NPI 1114270501

Occupational Therapist Registered, L

Claire Sherman , OTR, L

Occupational Therapist

NPI 1154808962

Occupational Therapist Registered, L

Dr. France Fidelis Solanzo , OTD, OTR, L

Occupational Therapist - Pediatrics

NPI 1235858754

Doctor of Occupational Therapy, Occupational Therapist Registered, L

Madison Rozycki , MA, CCC-SLP

Speech-Language Pathologist

NPI 1275103202

Master of Arts, Speech-Language Pathologist (Certificate of Clinical Competence)

Meridith Porter , OTR, L

Occupational Therapist - Pediatrics

NPI 1396004313

Occupational Therapist Registered, L

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
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Updated Practice Location February 02, 2026

Registered at 2109 OTOOLE AVE STE M, SAN JOSE, CA 951311338 (Tel: 4085737720)

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Updated Business Mailing Address February 02, 2026

Registered at 2109 OTOOLE AVE STE M, SAN JOSE, CA 951311338 (Tel: 4085737720)

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Updated Practice Location December 30, 2025

Registered at 2066 N CAPITOL AVE # 9025, SAN JOSE, CA 951321015 (Tel: 4158575783)

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Updated Business Mailing Address December 30, 2025

Registered at 2066 N CAPITOL AVE # 9025, SAN JOSE, CA 951321015 (Tel: 4158575783)

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Provider Name / Credentials Updated December 30, 2025

Recorded as NUTTHAGRITA ELLER, MS, CCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 30, 2025

Speech-Language Pathologist (License #40552 in CA)

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NPI Profile Deactivated October 27, 2025

Record deactivated on October 27, 2025

NPI Profile Active July 06, 2022

NPI status registered as active in NPPES database

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Updated Practice Location July 06, 2022

Registered at 1494 HAMILTON AVE, SAN JOSE, CA 951254535 (Tel: 8662271211)

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Updated Business Mailing Address July 06, 2022

Registered at 1494 HAMILTON AVE, SAN JOSE, CA 951254535 (Tel: 8662271211)

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Provider Name / Credentials Updated July 06, 2022

Recorded as NUTTHAGRITA ELLER

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2022

Behavior Technician

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Initial NPI Registration & Enumeration July 06, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083347165
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 06, 2022
Last Update: February 02, 2026
Deactivation Date: October 27, 2025
Sole Proprietor: No

Mailing Address

2109 Otoole Ave Ste M

San Jose, CA 951311338

Phone: 4085737720

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.