Mrs Kelli Katharina Ellenbaum, MS, CCC-SLP - Speech-Language Pathologist in Bismarck, ND

Mrs Kelli Katharina Ellenbaum, MS, CCC-SLP is a Speech-language Pathologist based in Bismarck, North Dakota. Mrs Kelli Katharina Ellenbaum is licensed to practice in North Dakota (license number 862) and her current practice location is 2625 N 19th St, Bismarck, North Dakota. She can be reached at her office (for appointments etc.) via phone at (701) 222-3175.

NPI number for Mrs Kelli Katharina Ellenbaum is 1003934878 and her current mailing address is 2625 N 19th St, Bismarck, North Dakota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003934878.

Contact Information

Mrs Kelli Katharina Ellenbaum, MS, CCC-SLP
2625 N 19th St,
Bismarck, ND 58503-0574
(701) 222-3175
(701) 222-3186



Healthcare Provider's Profile

Full NameMrs Kelli Katharina Ellenbaum
GenderFemale
SpecialitySpeech-language Pathologist
Location2625 N 19th St, Bismarck, North Dakota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003934878
  • Provider Enumeration Date: 03/27/2007
  • Last Update Date: 03/15/2021

Medical Identifiers

Medical identifiers for Mrs Kelli Katharina Ellenbaum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003934878NPI-NPPES
1454835MedicaidND
27424OtherNDBCBS ND PROVIDER NUMBER
54627MedicaidND

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 862 (North Dakota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kelli Katharina Ellenbaum is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Kelli Katharina Ellenbaum, MS, CCC-SLP
2625 N 19th St,
Bismarck, ND 58503-0574

Ph: (701) 222-3175
Mrs Kelli Katharina Ellenbaum, MS, CCC-SLP
2625 N 19th St,
Bismarck, ND 58503-0574

Ph: (701) 222-3175

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› Verified 8 days ago


Speech-Language Pathologist in Bismarck, ND

Sierra Larae Burgess, M.S.
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 210 S 12th St, Bismarck, ND 58504
Phone: 701-222-3175    Fax: 701-222-3186
Rebecca Mcgillivray,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 720 N 14th St, Bismarck, ND 58501
Phone: 701-323-4400    
Mrs. Karen Kaylene Davis, M. A.
Speech-Language Pathologist
Medicare: Medicare Enrolled
Practice Location: 1600 E Interstate Ave Ste 3, Bismarck, ND 58503
Phone: 701-751-1125    Fax: 701-751-0729
Linaya Ming, MS, CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 2625 N 19th St, Bismarck, ND 58503
Phone: 701-222-3175    Fax: 701-222-3186
Donna Johnson,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 806 N Washington St, Bismarck, ND 58501
Phone: 701-323-4028    Fax: 701-323-4027
Kourtney Carr, M.S. SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 806 N Washington St, Bismarck, ND 58501
Phone: 701-323-4028    Fax: 701-323-4027

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