Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1457518417 Individual Practitioner Female Practitioner

Angie Dawn Ellenbecker , SLP

Speech-Language Pathologist • Madison, TN

Professional Overview & Biography Verified Profile Summary

Angie Ellenbecker, SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Madison, TN. Practice services are available at 1994 GALLATIN PIKE N STE 309 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1994 Gallatin Pike N Ste 309

Madison, TN 371152025

Telephone 6155961830
Fax 6157668277
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Madison, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.2 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
24 Specialists

Practicing in Madison, TN (3778 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License TN ST5779

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.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

State License NV 1179

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1457518417 (NV)

Secondary Practice Locations

5008 Cascade Pools Ave

Las Vegas, NV 891313626

Phone: 7022037504

Practice Associates & Co-Workers

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

25 Associated Practitioners
Amber Moreau , MS, CF-SLP

Speech-Language Pathologist

NPI 1083449631

Master of Science, Clinical Fellow in Speech-Language Pathology

Ashley Campbell , MA

Speech-Language Pathologist

NPI 1124961032

Master of Arts

Caitlyn Espinosa , OTL

Occupational Therapist - Pediatrics

NPI 1235011180
Siara Sadler , COTA, L

Occupational Therapy Assistant

NPI 1235976325

Certified Occupational Therapy Assistant, L

Jolianna Danbury

Speech-Language Pathologist

NPI 1255258349
Lindsay Leonard , CF-SLP

Speech-Language Pathologist

NPI 1285582296

Clinical Fellow in Speech-Language Pathology

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location April 12, 2019

Registered at 1994 GALLATIN PIKE N STE 309, MADISON, TN 371152025 (Tel: 6155961830)

📍
Updated Business Mailing Address April 12, 2019

Registered at 513 SALT LICK TRL, GOODLETTSVILLE, TN 370723321 (Tel: 6155961830)

NPI Profile Active May 19, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location May 19, 2008

Registered at 5008 CASCADE POOLS AVE, LAS VEGAS, NV 891313626 (Tel: 7022037504)

📍
Updated Business Mailing Address May 19, 2008

Registered at 5008 CASCADE POOLS AVE, LAS VEGAS, NV 891313626 (Tel: 7022037504)

👤
Provider Name / Credentials Updated May 19, 2008

Recorded as ANGIE ELLENBECKER, SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2008

Speech-Language Pathologist (License #1179 in NV)

🟢
Initial NPI Registration & Enumeration May 19, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1457518417
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 19, 2008
Last Update: April 12, 2019
Sole Proprietor: Yes

Mailing Address

513 Salt Lick Trl

Goodlettsville, TN 370723321

Phone: 6155961830

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.