ASHLEY MARIE ELLENBERGER (NPI# 1407461411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407461411 |
| Entity Type | Individual |
| Full Name | ASHLEY MARIE ELLENBERGER |
| Credential | PMHNP-BC |
| Practice Address |
11-21 Broadway St Gloversville NY 12078-3968 |
| Practice Telephone | 5187254310 |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2020-09-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
403213 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962019877 | Ashley Renee Ellenberger | Nurse Practitioner | 5380 W Fond Du Lac Ave, Milwaukee, WI 53216-1366 | 2020-09-24 |
| Street Address |
11-21 BROADWAY ST |
| City | GLOVERSVILLE |
| State | NY |
| Zip Code | 12078-3968 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992766406 | Steve J Scarlata | Social Worker | 11-21 Broadway St, Gloversville, NY 12078-3968 | 2006-04-01 |
| 1841899317 | Victor Vandewal | Counselor | 11-21 Broadway St, Gloversville, NY 12078-3968 | 2020-10-25 |
| 1407455371 | Angela M Whiteaker | Counselor | 11-21 Broadway St, Gloversville, NY 12078-3968 | 2020-10-22 |
| 1053925677 | Katie Broadwell | Counselor | 11-21 Broadway St, Gloversville, NY 12078-3968 | 2020-09-01 |
| 1871102046 | Victoria Elise Degiulio | Counselor | 11-21 Broadway St, Gloversville, NY 12078-3968 | 2020-07-23 |
| 1417585977 | Laressa Marie Slater | Counselor | 11-21 Broadway St, Gloversville, NY 12078-3964 | 2020-03-31 |
| 1023646288 | Elisa Yeonhee Kim | Counselor | 11-21 Broadway St, Gloversville, NY 12078-3968 | 2020-03-31 |
| 1407482839 | Evelyn Karpel | Counselor | 11-21 Broadway St, Gloversville, NY 12078-3968 | 2020-03-17 |
| 1588299408 | Cassandra May Aiken | Counselor | 11-21 Broadway St, Gloversville, NY 12078-3964 | 2020-03-11 |
| 1740814466 | Sarah J Mercier | Counselor | 11-21 Broadway St, Gloversville, NY 12078-3968 | 2020-03-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477024909 | Justin Unislawski | Emergency Medical Technician, Basic | 4 Van Wyck St, Gloversville, NY 12078 | 2018-12-10 |
| 1356824486 | Paul J Sullivan | Counselor | 11-12 Broadway Ave, Gloversville, NY 12078 | 2018-09-14 |
| 1013424076 | Benjamin Edward Twait | Pharmacist | 1013 Ny-29a, Gloversville, NY 12078 | 2017-12-29 |
| 1538698998 | Claire Burnham | Counselor | 11-21 Broadway St., Gloversville, NY 12078 | 2017-06-08 |
| 1942756895 | Shardul Koppar | Internal Medicine | 847 Cr-122, Gloversville, NY 12078 | 2016-08-31 |
| 1821460288 | Kelley Mcgork | Physical Therapist | 127 E. State Street, Lexington Center, Gloversville, NY 12078 | 2015-10-26 |
| 1750729570 | Arthur Keith Brelia | General Practice | 104 Prospect Ave., Gloversville, NY 12078 | 2013-06-14 |
| 1891056693 | St. Mary's Healthcare | Family Medicine | 84 E State St., Gloversville, NY 12078 | 2012-06-07 |
| 1407179963 | Karen Ann Mowrey | Pharmacist | Route 30a, Arterial Shopping Center, Gloversville, NY 12078 | 2010-03-11 |
| 1619105053 | Amy Lee Gagne | Nurse Practitioner | 84 E State St, St. Mary's Hospital, Gloversville Family Health Center, Gloversville, NY 12078 | 2009-06-24 |
| Find all providers in zip 12078 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356876684 | Christopher Weber | Nurse Practitioner | 11-21 Broadway St, Gloversville, NY 12078-3968 | 2017-04-24 |
| 1316311699 | Edward Thompson | Nurse Practitioner | 11-21 Broadway St, Gloversville, NY 12078-3968 | 2015-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518794 | Johnson Oppong | Nurse Practitioner | 160 Theodore Fremd Ave Apt C2, Rye, NY 10580-2842 | 2020-11-08 |
| 1619578366 | Jecinter L Otieno | Nurse Practitioner | 195 Hillside Dr, Oneonta, NY 13820-3611 | 2020-11-07 |
| 1073113833 | Natalie Grant-villegas | Nurse Practitioner | 1210 Fulton St Apt 1, Brooklyn, NY 11216-2003 | 2020-10-29 |
| 1780284869 | Mary Gwynne Tillotson | Nurse Practitioner | 82 Oxford Ave, Buffalo, NY 14209-1406 | 2020-10-28 |
| 1780284273 | Angela Abramov | Nurse Practitioner | 141-30 Pershing Creacsent Apt 3c, Jamaica, NY 11435 | 2020-10-26 |
| 1407455967 | Marie J. Schwarz, Npp-bc PC | Nurse Practitioner | 133 E Main St Ste 3h, Babylon, NY 11702-3517 | 2020-10-25 |
| 1720687015 | Ashley Winn | Nurse Practitioner | 367 E Chester St, Long Beach, NY 11561-2324 | 2020-10-19 |
| 1114525961 | Tanya Monique Sydnor Holmes | Nurse Practitioner | 1601 Baldwin Blvd, Bay Shore, NY 11706-2145 | 2020-10-14 |
| 1669079976 | Mary Lynn Good | Nurse Practitioner | 3344 Chambers Rd # 200, Horseheads, NY 14845-1403 | 2020-10-08 |
| 1376140277 | Megan Elizabeth Bhatti | Nurse Practitioner | 2104 Delaware Ave Apt 1, Buffalo, NY 14216-3216 | 2020-10-04 |
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| City | GLOVERSVILLE |
| Zip Code | 12078 |
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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.