CHARLOTTE ELLIS (NPI# 1083098305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083098305 |
| Entity Type | Individual |
| Full Name | CHARLOTTE ELLIS |
| Practice Address |
7409 Us 42 Florence KY 41042-1905 |
| Practice Telephone | 8595258181 |
| Practice Fax Number | 8595258289 |
| Mailing Telephone | 8595258181 |
| Mailing Fax Number | 8595258289 |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2015-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
3009558 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7409 US 42 |
| City | FLORENCE |
| State | KY |
| Zip Code | 41042-1905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356305478 | Sharon Schroeder Wynn | Pediatrics | 7409 Us 42, Florence, KY 41042-1905 | 2006-04-14 |
| 1760845556 | Jessica Baumann | Pediatrics | 7409 Us 42, Florence, KY 41042-1905 | 2016-03-30 |
| 1679823611 | Josephine Kluemper Napier | Nurse Practitioner | 7409 Us 42, Florence, KY 41042-1905 | 2012-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710596010 | Stacey Deann Cruse | Counselor | 71 Cavalier Blvd #303, Florance, KY 41042 | 2020-07-23 |
| 1760044705 | Loretta Macaluso | Speech-Language Pathologist | 1515 Cavalry Drive, Suite 202, Florence, KY 41042 | 2019-06-29 |
| 1659879559 | Christina Shrader | Counselor | 71 Cavalier Blvd Ste 113, Florence, KY 41042 | 2018-01-25 |
| 1891200267 | Rachel Knuehl | Case Manager/Care Coordinator | 8140 Dream Street, Florence, KY 41042 | 2017-12-07 |
| 1427560697 | Marie Nicole Sartori | Nurse Practitioner | 7766 Ewing Blvd Ste 100, Florence, KY 41042 | 2017-10-27 |
| 1669903910 | Northern Kentucky Smiles | Dentist | 1481 Cavalry Drive, Suite 100, Florence, KY 41042 | 2017-03-27 |
| 1306394937 | Mary Austin | Nurse Practitioner | 7766 Ewing Boulevard, Florence, KY 41042 | 2016-09-12 |
| 1598211633 | Samantha Growe | Counselor | 7000 Houston Rd Ste 16, Florence, KY 41042 | 2016-08-29 |
| 1982079299 | Jessica Adelyn Goodridge | Doula | 2224 Forest Lawn Dr., Florence, KY 41042 | 2015-12-11 |
| 1083083414 | Victoria Maruca Havron | Psychologist | 6900 Houston Rd Ste 11, Florence, KY 41042 | 2015-09-16 |
| Find all providers in zip 41042 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972805190 | Care House of The Pee Dee Inc | Nurse Practitioner | 1500 Patton Dr, Florence, SC 29501-6520 | 2010-11-19 |
| 1225178460 | Nothwest Alabama Childrens Advocacy Center, Inc | Nurse Practitioner | 404 W Tennessee St, Florence, AL 35630-5525 | 2007-02-07 |
| 1316958036 | Connie M Arnold | Nurse Practitioner | 3909 Pasadena Ave, Florence, AL 35633-1132 | 2006-08-10 |
| 1902455595 | Taylor R King | Nurse Practitioner | 421 W College St, Florence, AL 35630-5520 | 2019-09-06 |
| 1275002123 | Elizabeth Lynn Combs | Nurse Practitioner | 45 Cavalier Blvd, Florence, KY 41042-1684 | 2018-11-21 |
| 1700289147 | Laura Ruthven Bulloch | Nurse Practitioner | 1530 Mclure Ct, Florence, SC 29505-6174 | 2014-09-30 |
| 1437585825 | Amanda Leigh Race | Nurse Practitioner | 59 Cavalier Blvd, Suite 330, Florence, KY 41042-3901 | 2013-09-18 |
| 1992957138 | Jessica Lea Ester | Nurse Practitioner | 7309 Us 42, Florence, KY 41042-5561 | 2008-10-21 |
| 1184760159 | Donna Lynn Montgomery | Nurse Practitioner | 421 West College St, Florence, AL 35630 | 2007-01-29 |
| 1013068337 | Kristie L Thelen Mcmanus | Nurse Practitioner | 59 Cavalier Blvd, Suite 330, Florence, KY 41042-3901 | 2007-01-15 |
| Find all providers in FLORENCE | ||||
Please comment or provide details below to improve the information on CHARLOTTE 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.