PATRICIA JUNE ELLIS (NPI# 1265798862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265798862 |
| Entity Type | Individual |
| Full Name | PATRICIA JUNE ELLIS |
| Credential | APRN, PHD |
| Practice Address |
1765 Golden Pl Mondamin IA 51557-4054 |
| Practice Telephone | 4027137106 |
| Mailing Telephone | 4027137106 |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2012-04-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | B128724 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467926048 | Patricia Ellis | Case Manager/Care Coordinator | 11070 Mead Rd Apt 2103, Baton Rouge, LA 70816-5203 | 2019-01-16 |
| 1558702175 | Patricia A. Ellis | Dietitian, Registered | Az Highway 191 and Hospital Road, Chinle, AZ 86503 | 2013-07-11 |
| 1891817813 | Patricia H. Ellis | Developmental Therapist | 10 S Maple St, Frankfort, IL 60423-1412 | 2007-04-03 |
| 1811446693 | Patricia Ellis | Registered Nurse | 3421 Mike Padgett Hwy, Augusta, GA 30906-3815 | 2016-09-22 |
| 1366734196 | Patricia Ellis | Social Worker | 426 E G St, Elizabethton, TN 37643-3224 | 2011-05-12 |
| 1982904249 | Patricia Ellis | Counselor | 83 Hospital Rd, Baldwinville, MA 01436-1215 | 2010-11-02 |
| 1154584191 | Patricia Ellis | Nutritionist | 25 Courthouse Dr Ne, Bolivia, NC 28422 | 2008-07-09 |
| 1346414059 | Patricia Jane Ellis | Psychologist | 1000 N Oak Ave, Marshfield, WI 54449-5703 | 2008-04-15 |
| 1669694741 | Patricia Ellis | Nurse Practitioner | 50 Leroy St, Potsdam, NY 13676-1786 | 2007-05-02 |
| 1073605887 | Patricia Diane Ellis | Nurse Practitioner | 1310 24th Ave S, Nashville, TN 37212-2637 | 2006-09-29 |
| Street Address |
1765 GOLDEN PL |
| City | MONDAMIN |
| State | IA |
| Zip Code | 51557-4054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346308020 | West Harrison Csd | Local Education Agency (LEA) | 410 Pine St, Mondamin, IA 51557-2023 | 2006-12-05 |
| 1033252994 | Town of Mondamin | Ambulance | 602 Maple St, Mondamin, IA 51557-2074 | 2007-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033252994 | Town of Mondamin | Ambulance | 602 Maple St, Mondamin, IA 51557-2074 | 2007-02-14 |
| 1346308020 | West Harrison Csd | Local Education Agency (LEA) | 410 Pine St, Mondamin, IA 51557-2023 | 2006-12-05 |
| 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 |
|---|---|---|---|---|
| 1912508722 | Tlc Healthcare LLC | Nurse Practitioner | 202 N Main St Ste A, Monticello, IA 52310-1746 | 2020-11-06 |
| 1679187108 | Jolene M. Mcadam | Nurse Practitioner | 536 Meadow Oak Cir, Fairfax, IA 52228-4709 | 2020-09-02 |
| 1427662832 | Schreiber Health Services Pllc | Nurse Practitioner | 8450 Hickman Rd Ste 16, Clive, IA 50325-4307 | 2020-09-02 |
| 1720606841 | Kristen Roberts | Nurse Practitioner | 108 Monroe St, Grand River, IA 50108-7510 | 2020-07-07 |
| 1437776747 | Michelle Gillitzer | Nurse Practitioner | 2450 Coral Ct, Coralville, IA 52241-2975 | 2020-07-02 |
| 1487271904 | Lynette Prickett | Nurse Practitioner | 15346 Dodgeville Rd, Sperry, IA 52650-9623 | 2020-06-30 |
| 1891311650 | Tiffany Amber Zieser | Nurse Practitioner | 1383 Fontana Blvd, Hazleton, IA 50641-5064 | 2020-06-17 |
| 1790300648 | Kdp Management Services LLC | Nurse Practitioner | 7109 Holcomb Ave, Urbandale, IA 50322-4740 | 2020-06-16 |
| 1982228920 | Samantha Quelland | Nurse Practitioner | 4090 Westown Pkwy # 106, West Des Moines, IA 50266-6760 | 2020-06-05 |
| 1841823622 | Melissa Lynn Coulter | Nurse Practitioner | 202 10th St Se Ste 165, Cedar Rapids, IA 52403-2433 | 2020-02-19 |
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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.