ELLEN L ANDERSON (NPI# 1063982312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063982312 |
| Entity Type | Individual |
| Full Name | ELLEN L ANDERSON |
| Credential | R.N. |
| Practice Address |
3956 Mount Elliott St Detroit MI 48207-1841 |
| Mailing Address |
26219 Student Redford MI 48239-3962 |
| Practice Telephone | 3135068568 |
| Mailing Telephone | 3135068568 |
| Enumeration Date | 2018-11-29 |
| Last Update Date | 2018-11-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1600X |
Registered Nurse Specialization: Continuing Education/Staff Development |
4704119285 | MI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972820736 | Ellen Anderson | Pharmacist | 112 East Second Street., Winthrop, MN 55396 | 2010-05-03 |
| 1366768129 | Ellen L Anderson | Registered Nurse | N71w35536 Mapleton Lake Dr, Oconomowoc, WI 53066-1214 | 2010-04-19 |
| 1699916288 | Ellen G Anderson | Counselor | 457 Carlisle Dr, Herndon, VA 20170-4819 | 2009-03-12 |
| 1538365226 | Ellen Z. Anderson | Physical Therapist | 791 Lamberts Mill Rd, Westfield, NJ 07090-4735 | 2007-06-21 |
| 1780690701 | Ellen L Anderson | Audiologist | 1287 Oliver Rd, Fairfield, CA 94534-3468 | 2006-07-31 |
| 1386288199 | Ellen Anderson | Counselor | 330 Billingsley Rd, Charlotte, NC 28211-5055 | 2019-11-05 |
| 1497313928 | Ellen Marie Anderson | Speech-Language Pathologist | 2557 Hooper Ave, Brick, NJ 08723-6238 | 2019-05-30 |
| 1760953905 | Ellen Deleiah Anderson | Behavior Technician | 421 Fayetteville St Ste 1100, Raleigh, NC 27601-3000 | 2018-12-16 |
| 1851872469 | Ellen Anderson | Speech-Language Pathologist | 801 Main St Ste 10, Louisville, CO 80027-1898 | 2018-08-22 |
| 1841770013 | Ellen Anderson | Occupational Therapist | 9800 Se Sunnyside Rd, Clackamas, OR 97015-9750 | 2018-08-17 |
| Street Address |
3956 MOUNT ELLIOTT ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48207-1841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619985058 | Professional Medical Center PC | Family Medicine | 3956 Mount Elliott St, Detroit, MI 48207-1841 | 2006-08-03 |
| 1134620008 | Laneice Jones | Social Worker | 3956 Mount Elliott St, Detroit, MI 48207-1841 | 2018-02-26 |
| 1306271135 | Cassandra Rena Viney | Nurse Practitioner | 3956 Mount Elliott St, Detroit, MI 48207-1841 | 2013-09-11 |
| 1043561277 | Temitope Oladokun Olagbaiye | Nurse Practitioner | 3956 Mount Elliott St, Detroit, MI 48207-1841 | 2012-09-27 |
| 1497004527 | Kasheena T Shropshire | Nurse Practitioner | 3956 Mount Elliott St, Detroit, MI 48207-1841 | 2012-09-05 |
| 1568695179 | Angela Michele Allen | Nurse Practitioner | 3956 Mount Elliott St, Detroit, MI 48207-1841 | 2009-08-29 |
| 1891922613 | Omosalewa Itauma | Obstetrics & Gynecology | 3956 Mount Elliott St, Detroit, MI 48207-1841 | 2009-06-18 |
| 1407012834 | Henri Godbold | Internal Medicine | 3956 Mount Elliott St, Detroit, MI 48207-1841 | 2008-08-05 |
| 1811044118 | Pro Care Helath Plan Inc. | Health Maintenance Organization | 3956 Mount Elliott St, Detroit, MI 48207-1841 | 2007-01-05 |
| 1093725186 | Usha L Doshi | Pediatrics | 3956 Mount Elliott St, Detroit, MI 48207-1841 | 2006-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245848506 | Anton R Gonzales | Physical Therapy Assistant | 2295 Chene, Detroit, Mi 48207, Detroit, MI 48207 | 2020-07-22 |
| 1033733928 | Taleshia Moss | Occupational Therapist | 2295 Chene, Detroit, MI 48207 | 2020-06-05 |
| 1942858550 | Ronald Royce Cochran | Counselor | 2925 Russell St, Detroit, Detroit, MI 48207 | 2019-08-27 |
| 1649831439 | Charday Penick | Social Worker | Team Wellness, 2925 Russell St, Detroit, MI 48207 | 2019-06-24 |
| 1568023349 | Alphia Ramona Burgess | Social Worker | Team Wellness Center, 2925 Russell Street, Detroit, MI 48207 | 2019-06-24 |
| 1447741608 | Sherice Ward | Social Worker | 100 River Place Drive, Ste 250, Detroit, MI 48207 | 2018-05-23 |
| 1427549955 | Mission Point of Detroit, LLC | Skilled Nursing Facility | 2102 Orleans, Detroit, MI 48207 | 2018-05-21 |
| 1043723737 | Olivia Carter | Case Management | 2712 Gratiot, Detroit, MI 48207 | 2017-11-16 |
| 1558885590 | Kalimah Johnson | Social Worker | 701 Mcdougall, Detroit, MI 48207 | 2017-08-01 |
| 1922534692 | Angela Young | Social Worker | 100 River Place 520, Detroit, MI 48207 | 2017-05-02 |
| Find all providers in zip 48207 | ||||
| Taxonomy Code | 163WC1600X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Continuing Education/Staff Development |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336574599 | Sonya Kowalski | Registered Nurse | 441 N Bryar St, Westland, MI 48185-3221 | 2013-09-06 |
| 1720086697 | Wanda E Edwards | Registered Nurse | 5600 W Maple Rd, Suite B 206, West Bloomfield, MI 48322-3704 | 2005-07-13 |
| 1508345075 | Valerie Andrews | Registered Nurse | 8303 Platt Rd, Saline, MI 48176-9773 | 2018-08-07 |
| 1083092332 | Julie Maxwell | Registered Nurse | 35425 W Michigan Ave, Wayne, MI 48184-9800 | 2015-05-07 |
| 1669694048 | Paula Kate Huber | Registered Nurse | 171 Dawson St, Sandusky, MI 48471-1062 | 2007-05-03 |
Please comment or provide details below to improve the information on ELLEN L ANDERSON.
| 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.