MRS. ANDREA P ELLIS (NPI# 1164605812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164605812 |
| Entity Type | Individual |
| Full Name | MRS. ANDREA P ELLIS |
| Other Name | ANDREA P MANTARO |
| Credential | RN |
| Practice Address |
9141 Stratus Cirlcle N/a Manlius NY 13104-2143 |
| Practice Telephone | 3156823299 |
| Mailing Telephone | 3156823299 |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2007-12-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 460520 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629472550 | Andrea Ellis | Nurse Practitioner | 3525 Augustus Road, Agape Physicians Care, Aiken, SC 29801 | 2014-10-21 |
| 1861723462 | Andrea Ellis | Social Worker | 14 Maine St # 54, Brunswick, ME 04011-2049 | 2010-01-21 |
| 1497925408 | Andrea Nicole Ellis | Chiropractor | 8140 Walnut Hill Ln Ste 120, Dallas, TX 75231-4464 | 2008-03-05 |
| 1922621051 | Andrea Ellis | Counselor | 1110 Benfield Blvd, Millersville, MD 21108-2639 | 2020-05-23 |
| 1770070898 | Andrea Loretta Ellis | Nurse Practitioner | 919 E 2nd St, Sanford, FL 32771 | 2018-04-14 |
| 1104267194 | Andrea Ellis | Case Manager/Care Coordinator | 132 Lower Ridge Rd, Conway, AR 72032-8518 | 2013-07-08 |
| 1699902775 | Andrea Ellis | Counselor | 1875 N Ridge Rd E, Lorain, OH 44055-3371 | 2009-06-16 |
| 1093953101 | Andrea Deno Ellis | Counselor | 21714 Hardy Oak, Suite # 100, San Antonio, TX 78258-4838 | 2009-01-27 |
| 1063661148 | Andrea M Ellis | Family Medicine | 8288 S Broadway Ave, Tyler, TX 75703-5262 | 2008-09-15 |
| 1639340151 | Andrea Louise Ellis | Speech-Language Pathologist | 102 Smithfield St, Buckhannon, WV 26201-2620 | 2008-03-13 |
| Street Address |
9141 STRATUS CIRLCLE N/A |
| City | MANLIUS |
| State | NY |
| Zip Code | 13104-2143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790334423 | Cindy Gleason | Technician | 8450 Number 2 Rd East, Manlius, NY 13104 | 2019-09-05 |
| 1275009995 | Tristan Karel Martin | Marriage & Family Therapist | 4500 Pewter Lane, 8&9, Manlius, NY 13104 | 2018-10-20 |
| 1184141715 | Walgreen Co | Pharmacy | 315 Fayette St Ste 3, Manlius, NY 13104 | 2017-08-24 |
| 1518233386 | Edward Theodore Schroeder | Internal Medicine | 8345 Vassar Drive, Manlius, NY 13104 | 2012-03-27 |
| 1790052017 | Megan Lynn Perioli | Counselor | 8219 Market Pl Bldg 10, Manlius, NY 13104 | 2011-12-01 |
| 1194979088 | Erin Elizabeth Kolceski | Speech-Language Pathologist | 8141 Old Sunridge Dr, Manlius, NY 13104 | 2008-11-05 |
| 1700037314 | Peter H Emery Jr. | Pharmacist | 3215 Pompey Center Road, Manlius, NY 13104 | 2008-10-02 |
| 1093987216 | Jason David Henderson | Dentist | 8179 Cazenovia Rd., Manlius, NY 13104 | 2008-03-27 |
| 1154517019 | Cynthia E Cavanaugh | Registered Nurse | 2968 Gulf Rd, Manlius, NY 13104 | 2007-09-24 |
| 1487853537 | Harold Jason Rodman | Dentist | 28 Lincklaen St, Cazenovia, NY 13104 | 2007-07-17 |
| Find all providers in zip 13104 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588204556 | Barbara Gwen Jones | Registered Nurse | 4978 Adah Dr, Manlius, NY 13104-1101 | 2020-01-08 |
| 1962765610 | Yingxia Gao | Registered Nurse | 4952 Tinderbox Cir, Manlius, NY 13104-2134 | 2012-06-18 |
| 1538452669 | Julie Ann Kaiser | Registered Nurse | 7696 Clark Ln, Manlius, NY 13104-1507 | 2011-05-23 |
| 1861717571 | Christine Ramsing Mccartan | Registered Nurse | 4568 Stoneledge Ln, Manlius, NY 13104-2322 | 2010-04-06 |
| 1669657946 | Nancy C Mcgovern | Registered Nurse | 8905 Peck Hill Rd, Manlius, NY 13104-9775 | 2008-01-04 |
| 1124200472 | Lia Fischi | Registered Nurse | 4520 Waltham Dr, Manlius, NY 13104-9591 | 2007-11-28 |
| 1871789222 | Janet Elaine Toffolo | Registered Nurse | 4534 Lamplighter Ln, Manlius, NY 13104-2319 | 2007-09-19 |
| 1356553382 | Laura E. Roberts | Registered Nurse | 8220 Windbrooke Rd, Manlius, NY 13104-2116 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699596 | Calissa Saint Paul | Registered Nurse | 77 Gibson Blvd, Valley Stream, NY 11581-3375 | 2020-11-08 |
| 1386245199 | Alisha Tiffany Howard | Registered Nurse | 19 Lakeside Dr, Centerport, NY 11721-1513 | 2020-11-06 |
| 1114528858 | Melissa Marie Leppard | Registered Nurse | 5092 Jennifer Dr, Syracuse, NY 13212-1009 | 2020-11-06 |
| 1992306831 | Barbara Sam | Registered Nurse | 2889 Baisley Ave Apt 2fl, Bronx, NY 10461-6118 | 2020-11-06 |
| 1134720105 | Marie Degraff | Registered Nurse | 8 Forest Ave, Glen Cove, NY 11542-2122 | 2020-11-05 |
| 1144821158 | Aeneas Kwame Osei | Registered Nurse | 28 Horseshoe Way, Middletown, NY 10940-2334 | 2020-11-05 |
| 1487255543 | Samantha Lee Manzo | Registered Nurse | 1450 Deep Hole Dr, Mattituck, NY 11952-2610 | 2020-11-05 |
| 1295336261 | Janet Esmas | Registered Nurse | 200 Haven Ave Apt 5r, New York, NY 10033-5308 | 2020-11-05 |
| 1376144246 | Jessica Quaranto | Registered Nurse | 4728 Transit Rd Apt B5, Depew, NY 14043-4955 | 2020-11-05 |
| 1871194001 | Anya Khaimova | Registered Nurse | 17656 80th Rd, Jamaica, NY 11432-1409 | 2020-11-04 |
| Find all providers with the same taxonomy | ||||
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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.