IndividualActive
Nikki Ellis, M.S. CCC-SLP
NPI 1821409228 · Speech-Language Pathologist · Pace, FL
Provider details
- NPI number
- 1821409228
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- M.S. CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- License
- SA13813 (FL)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Agencies
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4624 Summerdale Dr
Pace, FL 32571-1368
Phone: (850) 994-3456
Fax: (850) 994-3476
Street-level locationGet directions
Mailing address
3107 Susan Dr
Crestview, FL 32539-9019
Additional practice locations (1)
- 3107 Susan DrCrestview, FL 32539-9019Phone: (440) 781-1057
Registry dates
- Enumerated
- 2014-05-20
- Last updated
- 2023-11-09
- Certified
- 2023-11-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.