MR. JOSHUA ELLEDGE (NPI# 1114378486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114378486 |
Entity Type | Individual |
Full Name | MR. JOSHUA ELLEDGE |
Credential | CRNP |
Practice Address |
405 Belcher St Centreville AL 35042-2946 |
Practice Telephone | 2059262992 |
Practice Fax Number | 2053167675 |
Mailing Telephone | 2059262992 |
Mailing Fax Number | 2053167675 |
Enumeration Date | 2016-06-28 |
Last Update Date | 2016-06-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-136007 | AL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
405 BELCHER ST |
City | CENTREVILLE |
State | AL |
Zip Code | 35042-2946 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962422337 | John Bryan Waits | Family Medicine | 405 Belcher St, Centreville, AL 35042-2946 | 2006-07-20 |
1831797513 | Shaunda Barnes Porter | Nurse Practitioner | 405 Belcher St, Centreville, AL 35042-2946 | 2020-10-14 |
1912512435 | Lashandra Walter | Nurse Practitioner | 405 Belcher St, Centreville, AL 35042-2946 | 2020-09-11 |
1558970210 | Jasmine Bush | Nurse Practitioner | 405 Belcher St, Centreville, AL 35042-2946 | 2020-07-29 |
1871110619 | Emily Macleod | Registered Nurse | 405 Belcher St, Centreville, AL 35042-2946 | 2020-06-27 |
1962022459 | Folabi Ibrahim Ariganjoye | Student in an Organized Health Care Education/Training Program | 405 Belcher St, Centreville, AL 35042-2946 | 2020-04-24 |
1578183075 | Joseph Michel Mossad | Student in an Organized Health Care Education/Training Program | 405 Belcher St, Centreville, AL 35042-2946 | 2020-04-24 |
1346860848 | Molly Christine Hamilton | Student in an Organized Health Care Education/Training Program | 405 Belcher St, Centreville, AL 35042-2946 | 2020-04-24 |
1467072926 | Jerica Lashay Gibson | Student in an Organized Health Care Education/Training Program | 405 Belcher St, Centreville, AL 35042-2946 | 2020-04-24 |
1992325492 | Jonathan Sharley | Student in an Organized Health Care Education/Training Program | 405 Belcher St, Centreville, AL 35042-2946 | 2020-04-24 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093058133 | Cahaba Medical Care Foundation | Clinic/Center | 294 Pierson Avenue, Centreville, AL 35042 | 2013-03-27 |
1548305139 | Melody Dawn Randolph | Pharmacist | 1130 Walnut Street, Centreville, AL 35042 | 2007-02-21 |
1023127867 | Phil Adams | Dentist | 260 Walnut St., Centreville, AL 35042 | 2006-08-29 |
1598286213 | Angela Christine Whiten | Student in an Organized Health Care Education/Training Program | 405 Belcher Street, Centreville, AL 35042 | 2017-07-03 |
1407942733 | John Sansbury Meigs Jr. | Family Medicine | 208 Pierson Avenue, Centreville, AL 35042 | 2006-10-05 |
1609969203 | Judy Allgood | Nurse Practitioner | 208 Pierson Avenue, Centreville, AL 35042 | 2006-10-02 |
1104919760 | Robin Michelle Birchfield | Nurse Practitioner | 208 Pierson Avenue, Centreville, AL 35042 | 2006-10-02 |
1619986924 | Johnstone Powe Hollis | Family Medicine | 208 Pierson Avenue, Centreville, AL 35042 | 2006-08-05 |
1104856905 | Lata Ravindra Patil | Family Medicine | 208 Pierson Avenue, Centreville, AL 35042 | 2006-07-04 |
1477679801 | Bibb County | Local Education Agency (LEA) | 157 Sw Davidson Dr, Centreville, AL 35042-2277 | 2007-03-21 |
Find all providers in zip 35042 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811542764 | Global Family Medicine LLC | Nurse Practitioner | 14073 Lotus Ln Apt 915, Centreville, VA 20120-7402 | 2019-08-07 |
1346809985 | Rajwinder Kaur Sohi | Nurse Practitioner | 14562 Old Mill Rd, Centreville, VA 20121-6217 | 2019-06-07 |
1114493723 | Monica Marie Magowan | Nurse Practitioner | Touchette Regional Hospital, 5900 Bond Ave, Centreville, IL 62207 | 2018-10-22 |
1699274753 | Sarah Caitlin Brown | Nurse Practitioner | 5895 Trinity Pkwy Ste 100, Centreville, VA 20120 | 2018-02-05 |
1538554076 | Patricia Lee | Nurse Practitioner | 1281 Abercrombie Rd, Centreville, AL 35042-5104 | 2015-04-01 |
1275946162 | James Hawley | Nurse Practitioner | 260 W Main Street, Centreville, MS 39631 | 2014-06-09 |
1982761078 | Candace S Cane | Nurse Practitioner | 13880 Braddock Rd Ste 209, Lavonna Shade, Office Manager, Centreville, VA 20121-2463 | 2007-01-02 |
1093316663 | Samantha Jo Moody | Nurse Practitioner | 658 E Main St, Centreville, MI 49032-9627 | 2020-11-02 |
1811507114 | Amber Smith Flowers | Nurse Practitioner | 178 Highway 24 E, Centreville, MS 39631-4171 | 2020-08-03 |
1558970210 | Jasmine Bush | Nurse Practitioner | 405 Belcher St, Centreville, AL 35042-2946 | 2020-07-29 |
Find all providers in CENTREVILLE |
City | CENTREVILLE |
Zip Code | 35042 |
Please comment or provide details below to improve the information on MR. JOSHUA ELLEDGE.
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.