Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Nikki Leigh Ellis, MSCCC-SLP

Individual provider Early Intervention Provider Agency · NPI 1821409228

Mrs. Nikki Leigh Ellis, MSCCC-SLP is an Early Intervention Provider Agency in Pace, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2014
Specialties on file
2

Practice location Address checks out

4624 Summerdale Dr
Pace, FL 32571-1368
Phone: (850) 994-3456
Fax: (850) 994-3476
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3107 Susan Dr, Crestview, FL 32539-9019 — (440) 781-1057

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SA13813 (FL)
Early Intervention Provider Agency Taxonomy 252Y00000X · Licence SA13813 (FL)

Record details

NPI number1821409228
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorYes
NPI enumeratedMay 20, 2014
Last updated in NPPESNovember 9, 2023
Certification dateNovember 9, 2023