KATHERINE ELLIS (NPI# 1043706393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043706393 |
| Entity Type | Individual |
| Full Name | KATHERINE ELLIS |
| Practice Address |
2016 1st Ave Summerville SC 29486-0408 |
| Practice Telephone | 8434323109 |
| Mailing Telephone | 8434323109 |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2018-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
22035 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508178112 | Katherine H Ellis | Emergency Medicine | 304 S West St, Alexandria, VA 22314-5916 | 2010-07-12 |
| 1871570101 | Katherine L Ellis | Internal Medicine | 1200 Reba Mcentire Dr, Denison, TX 75020-9057 | 2005-12-28 |
| 1588138622 | Katherine J Ellis | Physical Therapist | 4160 Little York Rd Ste 10, Dayton, OH 45414-5803 | 2019-01-11 |
| 1194225631 | Katherine Trulove Ellis | Midwife | 401 Purdy St Ste 102, Easton, MD 21601-4060 | 2018-02-20 |
| 1063716058 | Katherine Dorothy Ellis | Psychologist | 2801 4th Ave, San Diego, CA 92103 | 2011-01-05 |
| 1215178827 | Katherine Eleanor Ellis | Counselor | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2009-03-11 |
| 1699945931 | Katherine Leigh Ellis | Physical Therapist | 3333 Springhill Dr, North Little Rock, AR 72117-2922 | 2008-03-03 |
| 1720295652 | Katherine Diane Ellis | Advanced Practice Midwife | 2805 S Mayhill Rd, Denton, TX 76208-5910 | 2007-05-17 |
| 1467512921 | Katherine Pace Ellis | Nurse Practitioner | 2101 East Jefferson Street, Rockville, MD 20852-4908 | 2006-12-12 |
| Street Address |
2016 1ST AVE |
| City | SUMMERVILLE |
| State | SC |
| Zip Code | 29486-0408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982245197 | Margot Lally | Nurse Practitioner | 2016 1st Ave, Summerville, SC 29486-0408 | 2019-09-30 |
| 1457900748 | Brynne Mchale | Nurse Practitioner | 2016 1st Ave, Summerville, SC 29486-0408 | 2019-09-09 |
| 1376050484 | Emily Calaman | Nurse Practitioner | 2016 1st Ave, Summerville, SC 29486-0408 | 2018-01-10 |
| 1124573811 | Brandy Harris | Nurse Practitioner | 2016 1st Ave, Summerville, SC 29486-0408 | 2016-08-23 |
| 1073653945 | Emily Kathleen Johnson | Pediatrics | 2016 1st Ave, Summerville, SC 29486-0408 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952921454 | Cooper River Pediatric Therapy LLC | Speech-Language Pathologist | 119 Callibluff Dr, Summerville, SC 29486 | 2020-04-24 |
| 1750928164 | Tidewater Eyecare, LLC | Optometrist | 301 Front St., Summerville, SC 29486 | 2019-12-04 |
| 1366086621 | Tgd-summerville LLC | Dentist | 604-a Nexton Square Dr, Summerville, SC 29486 | 2019-10-30 |
| 1336783604 | Tdsp-summerville LLC | Dentist | 604-b Nexton Square Dr, Summerville, SC 29486 | 2019-10-30 |
| 1699256081 | Denise Michelle Richardson | Speech-Language Pathologist | 201 School House Ln, Summerville, SC 29486 | 2018-08-24 |
| 1497243588 | Charleston Ent Associates, LLC | Non-Pharmacy Dispensing Site | 2205 2nd Avenue, Summerville, SC 29486 | 2018-04-25 |
| 1043707557 | Seaside Family Medicine, LLC | Nurse Practitioner | 1341 College Park Rd # A, Summerville, SC 29486 | 2018-04-19 |
| 1023511144 | Grace Physical Therapy and Sports Rehab At Nexton | Clinic/Center | 5500 Front St, Suite 201, Summerville, SC 29486 | 2018-03-15 |
| 1295253086 | Dillon Robert Gregory | Specialist/Technologist | 313 Springdale Ct., Summerville, SC 29486 | 2017-09-01 |
| 1013456987 | Sfd Kids LLC | Dentist | 108 Parish Farms Drive, Summerville, SC 29486 | 2017-02-13 |
| Find all providers in zip 29486 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982037495 | Amanda Mcallister | Nurse Practitioner | 1341 College Park Rd Ste A, Summerville, SC 29486 | 2013-08-20 |
| 1881889608 | Shannon Vorlick | Nurse Practitioner | 202 Benton's Lodge Road, Summerville, SC 29485 | 2007-09-14 |
| 1952702714 | Hannah Winningham | Nurse Practitioner | 202 Bentons Lodge Rd, Summerville, SC 29485-6322 | 2014-09-11 |
| 1417936642 | Mary Lou Korpon | Nurse Practitioner | 202 Bentons Lodge Rd, Summerville, SC 29485-6322 | 2006-01-16 |
| 1437159175 | Hazel Gramling Segelken | Nurse Practitioner | 312 Midland Pkwy, Summerville, SC 29485-8102 | 2005-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912515511 | Naajah Hughes | Nurse Practitioner | 96 Jonathan Lucas Street Csb 428 Msc 608, Charleston, SC 29425-0001 | 2020-07-20 |
| 1558835355 | Conway Hospital Inc | Nurse Practitioner | 124 Professional Park Drive, Ste A, Conway, SC 29526-9260 | 2019-01-15 |
| 1104220433 | Diana L Taylor | Nurse Practitioner | 140 Professional Park Drive, Conway, SC 29526 | 2014-10-15 |
| 1134540008 | Jeanne Egli | Nurse Practitioner | 99 Bridgetown Rd, Goose Creek, SC 29445-5359 | 2013-12-19 |
| 1962839696 | Tracey Christine Wood | Nurse Practitioner | 140 Bandage Ct, Murrells Inlet, SC 29576-5103 | 2013-09-26 |
| 1144568650 | Rebecca Pursley Brown | Nurse Practitioner | 128 Camelot Dr, Gaffney, SC 29341-1012 | 2013-01-18 |
| 1891097580 | Jocelyn Miller Snider | Nurse Practitioner | 1223 S Lake Dr, Lexington, SC 29073-6889 | 2010-12-01 |
| 1972805190 | Care House of The Pee Dee Inc | Nurse Practitioner | 1500 Patton Dr, Florence, SC 29501-6520 | 2010-11-19 |
| 1841436219 | Elsie May Hartigan | Nurse Practitioner | 834 W. Meeting St. Suite C, Lancaster, SC 29720 | 2009-01-06 |
| 1215104351 | Robin D Estrada | Nurse Practitioner | 1228 Colonial Commons Ct Ste 231, Lancaster, SC 29720-2200 | 2008-05-08 |
| Find all providers with the same taxonomy | ||||
| City | SUMMERVILLE |
| Zip Code | 29486 |
Please comment or provide details below to improve the information on KATHERINE ELLIS.
| 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.