Angie Dawn Ellenbecker, SLP
NPI 1457518417ActiveIndividual· Speech-Language Pathologist· Madison, TN
Speech-Language Pathologist (SLP) in Madison, Tennessee, licensed in TN and NV, with an NPI issued in May 2008. Enrolled in Medicare as practitioner - qualified speech language pathologist.
Overview
| NPI | 1457518417 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | SLP |
| Sole proprietor | Yes |
| NPI issued | May 19, 2008 |
| Last updated in NPPES | Apr 12, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | ST5779 | TN |
| Speech-Language Pathologist | 235Z00000X | 1179 | NV |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (TN) |
|---|
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