MARY ELY (NPI# 1225074495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225074495 |
| Entity Type | Individual |
| Full Name | MARY ELY |
| Credential | N.P. |
| Practice Address |
1836 S Macarthur Blvd Springfield IL 62704-4030 |
| Practice Telephone | 2177891403 |
| Practice Fax Number | 2177891825 |
| Mailing Telephone | 2177891403 |
| Mailing Fax Number | 2177891825 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2020-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 277000332 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992104699 | Mary Ely | Registered Nurse | 7055 Samuel Morse Dr, Columbia, MD 21046-3439 | 2014-08-19 |
| 1639477425 | Mary Cay Brooks Ely | Nurse Practitioner | 810 E Sunflower Rd, Ste 140, Cleveland, MS 38732-2800 | 2011-03-03 |
| 1548412562 | Mary Beth Ely | Occupational Therapist | 3325 Pocahontas Rd, Baker City, OR 97814-1464 | 2008-10-21 |
| Street Address |
1836 S MACARTHUR BLVD |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62704-4030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003889411 | Winston J Townsend | Internal Medicine | 1836 S Macarthur Blvd, Springfield, IL 62704-4030 | 2006-02-08 |
| 1912542051 | Stephanie A Olsen | Nurse Practitioner | 1836 S Macarthur Blvd, Springfield, IL 62704-4030 | 2019-11-13 |
| 1699317081 | Michael Mcpeak | Specialist/Technologist | 1836 S Macarthur Blvd, Springfield, IL 62704-4030 | 2019-10-17 |
| 1598205601 | Nichole Mcmillen | Nurse Practitioner | 1836 S Macarthur Blvd, Springfield, IL 62704-4030 | 2017-03-08 |
| 1952846016 | Megan Adams | Nurse Practitioner | 1836 S Macarthur Blvd, Springfield, IL 62704-4030 | 2016-12-28 |
| 1225415664 | Anne Lunt Hocking | Nurse Practitioner | 1836 S Macarthur Blvd, Springfield, IL 62704-4030 | 2015-05-06 |
| 1720479405 | Christina Skaar | Physician Assistant | 1836 S Macarthur Blvd, Springfield, IL 62704-4030 | 2015-02-17 |
| 1740545441 | Maria Khattak | Family Medicine | 1836 S Macarthur Blvd, Springfield, IL 62704-4030 | 2012-07-09 |
| 1598911281 | Shabaz Gill | Family Medicine | 1836 S Macarthur Blvd, Springfield, IL 62704-4030 | 2008-08-13 |
| 1164612669 | Wendy D Dorworth | Nurse Practitioner | 1836 S Macarthur Blvd, Springfield, IL 62704-4030 | 2007-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902394901 | Hillary Haaker | Occupational Therapist | 2035 W Iles, Suite C, Springfield, ID 62704 | 2018-04-25 |
| 1871095364 | Edward Doyle Slifer Sr. | Pathology | 2117 Greenside Drive, Spring Field, IL 62704 | 2018-03-01 |
| 1598263345 | Santarelli & Feller Dental Group | Dentist | 1140 Rickard Road, Suite B, Springfield, IL 62704 | 2018-01-26 |
| 1447774757 | Lisa Ann Rogers | Developmental Therapist | 2101 Lexington Dr, Apt 3, Springfield, IL 62704 | 2017-07-28 |
| 1730611286 | Mindi Rowe | Occupational Therapist | 2508 County Rd 4 1/2 E, Springfield, IL 62704 | 2017-04-03 |
| 1366992208 | Jayme Jordan | Contractor | 2409 Westchester Blvd, Springfield, IL 62704 | 2016-10-04 |
| 1154793974 | Dina Payne | Social Worker | 917 Clocktower Drive, Suite 600, Springfield, IL 62704 | 2015-10-21 |
| 1770959819 | James R Reynolds | Hearing Instrument Specialist | 2347 W Monroe St, Springfield, IL 62704 | 2015-08-12 |
| 1336576495 | Emily Jane Dungey | Counselor | 920 S Spring St Ste 1300, Springfield, IL 62704 | 2013-10-03 |
| 1942552161 | Jeannie Marie Hundley | Specialist/Technologist, Other | 2921 Monvale Drive, Springfield, IL 62704 | 2012-10-11 |
| Find all providers in zip 62704 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578178422 | Behishta Ishanzai | Nurse Practitioner | 7500 Geoint Dr, Springfield, VA 22150-7500 | 2020-09-08 |
| 1790393049 | Kathy Forson | Nurse Practitioner | 1235 E. Cherokee St., Springfield, MO 65804 | 2020-07-22 |
| 1255951331 | Bryndi Raye Shirley | Nurse Practitioner | 1636 S Glenstone Ave Ste 100, Springfield, MO 65804-1527 | 2020-04-20 |
| 1750900379 | Gemma Nicole D'angelo | Nurse Practitioner | 996 Stoneybrook Dr, Springfield, PA 19064-3829 | 2020-04-14 |
| 1629607882 | Melanie Herrin | Nurse Practitioner | 6230 Rolling Rd Ste J, Springfield, VA 22152-2326 | 2020-04-08 |
| 1871133520 | Deborah Ann Tully | Nurse Practitioner | 2 Medical Center Dr Ste 202, Springfield, MA 01107-1272 | 2020-01-10 |
| 1932759651 | Amanda Couchon | Nurse Practitioner | 759 Chestnut St Radiology Department, Springfield, MA 01199-0001 | 2019-09-14 |
| 1760947410 | Andrea K Leger | Nurse Practitioner | 300 Birnie Ave Ste 102, Springfield, MA 01107-1375 | 2019-02-07 |
| 1417421579 | Stephanie M Yeager | Nurse Practitioner | 3850 S National Ave Ste 700, Springfield, MO 65807-5292 | 2019-01-11 |
| 1215415799 | Bree Schmulbach | Nurse Practitioner | Bsb Room 20, Springfield, IL 62703 | 2018-08-06 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62704 |
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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.