MRS. ELLIE FLANNERY (NPI# 1033484647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033484647 |
| Entity Type | Individual |
| Full Name | MRS. ELLIE FLANNERY |
| Credential | RN, CPNP |
| Practice Address |
5046 Everest Ln N Plymouth MN 55446-4520 |
| Practice Telephone | 6126698725 |
| Mailing Telephone | 6126698725 |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2012-03-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
20091436 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5046 EVEREST LN N |
| City | PLYMOUTH |
| State | MN |
| Zip Code | 55446-4520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114552379 | Molly M Mahoney | Pharmacist | 4110 Juneau Lane N, Plymouth, MN 55446 | 2020-03-09 |
| 1073064804 | Owen Payne Kusick | Student in an Organized Health Care Education/Training Program | 16717 49th Pl N, Plymouth, MN 55446 | 2016-10-17 |
| 1043696214 | Kari Shoemaker | Speech-Language Pathologist | 5855 Cheshire Parkway, Plymouth, MN 55446 | 2015-08-10 |
| 1902206899 | Kathleen E Steensma | Nurse Practitioner | 15700 37th Ave N. #110, Plymouth, MN 55446 | 2014-08-27 |
| 1851715163 | Group Health Plan Inc | Clinic/Center | 5000 Fernbrook Ln N, Plymouth, MN 55446 | 2014-02-06 |
| 1588903009 | Laura Davidson | Physician Assistant | 3365 Plymouth Blvd., Suite 110, Plymouth, MN 55446 | 2013-02-04 |
| 1366680688 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6025 Shenandoah Ln N, Plymouth, MN 55446 | 2009-01-23 |
| 1205046646 | Merida A Miller | Obstetrics & Gynecology | 4155 Cty Rd 101 N, Plymouth, MN 55446 | 2007-05-23 |
| 1376684746 | West Metro Ophthalmology, Pa | Ophthalmology | 15655 37th Ave N Ste 200, Plymouth, MN 55446 | 2007-02-09 |
| 1952401390 | Grand St Paul Cvs LLC | Pharmacy | 4140 Rd 101 N, Plymouth, MN 55446 | 2006-09-25 |
| Find all providers in zip 55446 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154796811 | Megan Stark | Nurse Practitioner | 2805 Campus Dr Ste 235, Plymouth, MN 55441-2678 | 2015-12-07 |
| 1982072856 | Kristen Joan Rheaume | Nurse Practitioner | Plymouth Pediatric Associates, 139 Sandwich Street, Plymouth, MA 02360 | 2015-09-09 |
| 1508375544 | Amy L Lilly | Nurse Practitioner | 990 W Ann Arbor Trl Ste 210, Plymouth, MI 48170-6202 | 2017-09-21 |
| 1437608965 | Tara Valentine | Nurse Practitioner | 990 W Ann Arbor Trl, Suite 210, Plymouth, MI 48170-6204 | 2016-09-26 |
| 1134591472 | Amy Miklich | Nurse Practitioner | 139 Sandwich St, Plymouth, MA 02360-2449 | 2015-10-27 |
| 1114312071 | Jessica Flutie | Nurse Practitioner | 139 Sandwich St, Plymouth, MA 02360-2449 | 2015-03-30 |
| 1043568827 | Kacie Kiyoko Nakamura Gaudet | Nurse Practitioner | 6 Resnik Rd, Plymouth, MA 02360-4873 | 2012-08-27 |
| 1447566559 | Sondra Raubacher | Nurse Practitioner | 990 W Ann Arbor Trl, Suite 210, Plymouth, MI 48170-6204 | 2010-08-26 |
| 1922334036 | Allison N Goulson | Nurse Practitioner | 2855 Campus Dr, #350, Plymouth, MN 55441-2649 | 2009-10-23 |
| 1457595357 | Nicole Dillon | Nurse Practitioner | 990 W Ann Arbor Trl, Ste 210, Plymouth, MI 48170-6204 | 2009-04-23 |
| Find all providers in PLYMOUTH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.