JACQULINE MARIE ELY
NPI 1629618947
Speech-Language Pathologist in Danville, VA

Active since January 14, 2020
625 PINEY FOREST RD STE 407, DANVILLE, VA 24540(434) 799-7732 Get Directions Write a Review

NPPES record last updated: January 14, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jacquline Marie Ely NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQULINE MARIE ELY (NPI 1629618947) is an individual speech-language pathologist provider in Danville, Virginia, licensed in Virginia (2204000300) and active in the NPI registry since January 2020. She is a graduate of Other (2019).

NPPES Registry Identity

NPI1629618947
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameJACQULINE MARIE ELY
Location Address625 PINEY FOREST RD STE 407Danville, VA 24540-2870
Mailing Address625 Piney Forest Rd Ste 407Danville, VA 24540-2870 · (434) 799-7732
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 14, 2020
✔ NPI 1629618947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in VA · 2204000300
Definition
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.
625 PINEY FOREST RD STE 407, Danville, VA 24540

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacquline Marie Ely is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890255889
PECOS Enrollment IDI20260909003084

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapy Assistant
625 PINEY FOREST RD STE 407
DANVILLE, VA 24540
Occupational Therapy Assistant
625 PINEY FOREST RD STE 407
DANVILLE, VA 24540
Occupational Therapy Assistant
625 PINEY FOREST RD STE 407
DANVILLE, VA 24540
Speech-Language Pathologist
625 PINEY FOREST RD STE 407
DANVILLE, VA 24540
Occupational Therapy Assistant
625 PINEY FOREST RD STE 407
DANVILLE, VA 24540
Speech-Language Pathologist
625 PINEY FOREST RD STE 407
DANVILLE, VA 24540
Physical Therapist (Pediatrics)
625 PINEY FOREST RD STE 407
DANVILLE, VA 24540
Occupational Therapy Assistant
625 PINEY FOREST RD STE 407
DANVILLE, VA 24540

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacquline Ely's NPI number?

The NPI number for Jacquline Ely is 1629618947. It was assigned to this individual provider in the NPPES registry on January 14, 2020.

Where is Jacquline Ely located?

Jacquline Ely practices at 625 Piney Forest Rd Ste 407, Danville, VA 24540. The listed phone number is (434) 799-7732.

What is Jacquline Ely's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Jacquline Ely enrolled in Medicare?

Yes. Jacquline Ely is registered in the Medicare PECOS enrollment system.

What insurance does Jacquline Ely accept?

Health plans from Ambetter Health, BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Jacquline Ely as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacquline Ely was last updated on January 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.