PRISCILLA L ELLINOR (NPI# 1356375935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356375935 |
| Entity Type | Individual |
| Full Name | PRISCILLA L ELLINOR |
| Credential | RN, CNP |
| Practice Address |
700 1st Ave S Fargo ND 58122-0001 |
| Practice Telephone | 7012344036 |
| Practice Fax Number | 7012344003 |
| Mailing Telephone | 7012344036 |
| Mailing Fax Number | 7012344003 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
R32307 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
RN.242052-COA1 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
700 1ST AVE S |
| City | FARGO |
| State | ND |
| Zip Code | 58122-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700872157 | Harry C Weiser | Neurological Surgery | 700 1st Ave S, Fargo, ND 58103-1802 | 2005-09-21 |
| 1538783972 | Austin Fridrich | Physician Assistant | 700 1st Ave S, Fargo, ND 58103-1802 | 2020-06-02 |
| 1144842089 | Matthew Hockert | Physician Assistant | 700 1st Ave S, Fargo, ND 58103-1802 | 2020-05-14 |
| 1770110777 | Steffani Nicole Johnston Mack | Physician Assistant | 700 1st Ave S, Fargo, ND 58103-1802 | 2020-03-27 |
| 1457912529 | Dillon F Grose | Nurse Practitioner | 700 1st Ave S, Fargo, ND 58103-1802 | 2019-06-27 |
| 1629639919 | Paul Rodenbiker | Nurse Practitioner | 700 1st Ave S, Fargo, ND 58103-1802 | 2019-06-26 |
| 1477053411 | Sara Amys | Physician Assistant | 700 1st Ave S, Fargo, ND 58103-1802 | 2018-02-16 |
| 1881193803 | Rachael Burns | Physician Assistant | 700 1st Ave S, Fargo, ND 58103-1802 | 2018-02-05 |
| 1457872889 | Jaydee Unruh | Nurse Practitioner | 700 1st Ave S, Fargo, ND 58103-1802 | 2017-07-06 |
| 1205377793 | Behzad Sabit | Neurological Surgery | 700 1st Ave S, Fargo, ND 58103 | 2017-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184142747 | Kayla Estepp | Internal Medicine | 737 Broadway North, Fargo, ND 58122 | 2017-09-05 |
| 1376091793 | Paul Mckay | Physical Therapist | 801 Broadway N., Fargo, ND 58122 | 2016-09-14 |
| 1801290150 | Mark Noah | Physical Therapist | 1720 South University, Fargo, ND 58122 | 2014-10-15 |
| 1245633486 | Diana Palm | Physical Therapist | 1720 University Drive South, Fargo, ND 58122 | 2014-10-02 |
| 1447696406 | Mohamad Imam | Internal Medicine | 801 Broadway North, Fargo, ND 58122 | 2013-05-17 |
| 1457615155 | Chantee Seung Gruenhagen | Nurse Practitioner | 737 North Broadway, Sanford Urology Clinic, Fargo, ND 58122 | 2012-06-27 |
| 1457594079 | Manisha Balhara | Specialist | 2400 32nd Avenue S, Fargo, ND 58122 | 2009-04-13 |
| 1578536728 | Shelby A Terstriep | Internal Medicine | 820 4 Street North, Fargo, NC 58122 | 2006-02-08 |
| 1295229946 | Christopher Hinh | Student in an Organized Health Care Education/Training Program | 801 Broadway North, Fargo, ND 58122 | 2018-06-17 |
| 1558854539 | Suchita Kotnala | Family Medicine | 737 Broadway North, Fargo, ND 58122 | 2018-06-13 |
| Find all providers in zip 58122 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598232183 | Caitlin Hemquist | Nurse Practitioner | 100 4th St S Ste 308, Fargo, ND 58103-1937 | 2018-11-01 |
| 1831647940 | Abigail Carmen Burkett Vetter | Nurse Practitioner | 2928 University Dr S Suite 101, Fargo, ND 58103 | 2016-09-18 |
| 1417930835 | Denise Renee Schrader | Nurse Practitioner | 2701 13th Ave S, Fargo, ND 58103-3602 | 2005-11-21 |
| 1386274918 | Melissa Ann Knopik | Nurse Practitioner | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2020-01-23 |
| 1427603588 | Annelise Sterneman | Nurse Practitioner | 1702 University Dr S, Fargo, ND 58103-4940 | 2019-08-06 |
| 1801391248 | Sarah Genevieve Paur | Nurse Practitioner | 2701 13th Ave S, Fargo, ND 58103-3602 | 2018-03-27 |
| 1538689294 | Amanda Rae Banker | Nurse Practitioner | 801 Broadway N, Fargo, ND 58102-3641 | 2017-06-23 |
| 1184163149 | Lynae Envik | Nurse Practitioner | 801 Broadway N, Fargo, ND 58102-3641 | 2017-02-22 |
| 1114470051 | Brittany Nygaard | Nurse Practitioner | 2701 13th Ave S, Fargo, ND 58103-3602 | 2016-07-27 |
| 1154777977 | Sarah Stoops | Nurse Practitioner | 1702 University Dr S, Fargo, ND 58103-4940 | 2016-05-11 |
| Find all providers in FARGO | ||||
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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.