JESSICA RENEE ELLIS MS, CCC-SLP
NPI 1629738802
Speech-Language Pathologist in Vestal, NY

Active since December 29, 2021
294 KNIGHT ROAD, VESTAL, NY 13850(607) 240-8776 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 12, 2026, Dec 29, 2021 (2 updates tracked since 2021).

About Jessica Renee Ellis Ms, Ccc-slp NPPES

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

JESSICA RENEE ELLIS MS, CCC-SLP (NPI 1629738802) is an individual speech-language pathologist provider in Vestal, New York, licensed in New York (033724-01) and active in the NPI registry since December 2021. She maintains a secondary practice location in Kirkwood.

NPPES Registry Identity

NPI1629738802
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameJESSICA RENEE ELLISCredential: MS, CCC-SLP
Location Address294 KNIGHT ROADVestal, NY 13850-5240
Mailing Address294 Knight RoadVestal, NY 13850-5240 · (607) 240-8776
Sole ProprietorYes
Enumeration DateDecember 29, 2021
Last NPPES UpdateJanuary 12, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2026
NPI 1629738802 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 NY · 033724-01
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.
294 KNIGHT ROAD, Vestal, NY 13850

Secondary Practice Location 1

Location 1236 Burts RdKirkwood, NY 13795-1731 · Phone (877) 426-3307 ext. 1

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 Jessica Ellis's NPI number?

The NPI number for Jessica Ellis is 1629738802. It was assigned to this individual provider in the NPPES registry on December 29, 2021.

Where is Jessica Ellis located?

Jessica Ellis practices at 294 Knight Road, Vestal, NY 13850. The listed phone number is (607) 240-8776.

What is Jessica Ellis's specialty?

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

When was this NPI record last updated?

The NPPES record for Jessica Ellis was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.