Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1821409228 Individual Practitioner Female Practitioner

Nikki Leigh Ellis , MS CCC-SLP

Speech-Language Pathologist • Pace, FL

Professional Overview & Biography Verified Profile Summary

Nikki Ellis, MS CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Pace, FL. Practice services are available at 4624 SUMMERDALE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4624 Summerdale Dr

Pace, FL 325711368

Telephone 8509943456
Fax 8509943476
Associated Practice Facility / Clinic
🏢 Kids Talk Place Llc Facility NPI 1679590632

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Pace, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
22 Specialists

Practicing in Pace, FL (11640 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: 2023-11-09
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License FL SA13813

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.

Early Intervention Provider Agency

NUCC Taxonomy Code: 252Y00000X

State License FL SA13813

Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children's needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development.

Secondary Practice Locations

3107 Susan Dr

Crestview, FL 325399019

Phone: 4407811057

Practice Associates & Co-Workers

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

32 Associated Practitioners
Ashley Nelson

Occupational Therapist

NPI 1073137576
Raleigh Gamsky , MS CCC-SLP

Speech-Language Pathologist

NPI 1104370295

MSCCCSLP

Lori Corley , OTR, L

Occupational Therapist

NPI 1154887867

Occupational Therapist Registered, L

Katie Roberts , MS, CF-SLP

Speech-Language Pathologist

NPI 1164761466

Master of Science, Clinical Fellow in Speech-Language Pathology

Kennedy Foote , MS

Speech-Language Pathologist

NPI 1194651182

Master of Science

Melissa Mccoy , OTR L

Occupational Therapist

NPI 1336214949

Occupational Therapist Registered & Licensed

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Business Mailing Address November 09, 2023

Registered at 3107 SUSAN DR, CRESTVIEW, FL 325399019 (Tel: 4407811057)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2023

Early Intervention Provider Agency (License #SA13813 in FL)

📍
Updated Practice Location June 06, 2022

Registered at 4624 SUMMERDALE DR, PACE, FL 325711368 (Tel: 8509943456)

📍
Updated Business Mailing Address June 06, 2022

Registered at 4100 S FERDON BLVD STE A1, CRESTVIEW, FL 325365287 (Tel: 8506828388)

👤
Provider Name / Credentials Updated June 06, 2022

Recorded as NIKKI ELLIS, M.S. CCC-SLP

NPI Profile Active June 17, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location June 17, 2014

Registered at 4100 S FERDON BLVD, SUITE C1, CRESTVIEW, FL 325365252 (Tel: 8506828388)

📍
Updated Business Mailing Address June 17, 2014

Registered at 4100 S FERDON BLVD, SUITE C1, CRESTVIEW, FL 325365252 (Tel: 8506828388)

👤
Provider Name / Credentials Updated June 17, 2014

Recorded as NIKKI JUSTICE, MS, CFY-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2014

Speech-Language Pathologist (License #SZ 6551 in FL)

🟢
Initial NPI Registration & Enumeration May 20, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1821409228
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 20, 2014
Last Update: November 09, 2023
Sole Proprietor: Yes

Mailing Address

3107 Susan Dr

Crestview, FL 325399019

Phone: 4407811057

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.