MRS. PAMELA ELLIS (NPI# 1669667937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669667937 |
| Entity Type | Individual |
| Full Name | MRS. PAMELA ELLIS |
| Credential | LPN |
| Practice Address |
425 N Monroe St Stoughton WI 53589-1543 |
| Practice Telephone | 6088733721 |
| Mailing Telephone | 9203190494 |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2008-09-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 32178-031 | WI | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 38279700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750914388 | Pamela Densie Ellis | Chore Provider | 1811 Rippling Water Ct, Sugar Land, TX 77479-6974 | 2020-02-21 |
| 1871070706 | Pamela Lynn Ellis | Registered Nurse | 750 Quinette Dr, Seagoville, TX 75159-1752 | 2018-07-24 |
| 1669885604 | Pamela Ellis | Speech-Language Pathologist | 2175 Seminole Shores Ln, Vero Beach, FL 32963-3126 | 2014-06-07 |
| 1114229564 | Pamela Ann Ellis | Behavioral Analyst | 5504 Jim Ave, Killeen, TX 76549-2555 | 2010-11-17 |
| 1972628592 | Pamela Ellis | Adult Companion | 1126 W 29th St, Vancouver, WA 98660-2090 | 2007-03-20 |
| 1295158889 | Pamela Ellis | Marriage & Family Therapist | 900 Nw 10th St, Oklahoma City, OK 73106-7220 | 2014-02-02 |
| 1144573379 | Pamela White Ellis | Nurse Practitioner | 201 Francis Marion Ln, Marion, VA 24354-4227 | 2012-10-25 |
| 1174897979 | Pamela Renee Ellis | Registered Nurse | 1201 Heritage Cir, Pawnee, OK 74058-3744 | 2012-02-27 |
| 1376840637 | Pamela Jean Ellis | Registered Nurse | 1805 Hennepin Ave N, Glencoe, MN 55336-1416 | 2011-02-23 |
| 1851423594 | Pamela Klima Ellis | Occupational Therapist | 350 W Sahuarita Rd, Sahuarita, AZ 85629-9000 | 2007-03-09 |
| Street Address |
425 N MONROE ST |
| City | STOUGHTON |
| State | WI |
| Zip Code | 53589-1543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467971507 | Linda Kay Balthazor | Registered Nurse | 900 Truman, Stoughton, WI 53589 | 2017-09-10 |
| 1801342464 | Lorchid Lanoway | Licensed Practical Nurse | 1817 Cedarbrook Ln, Unit 9, Stoughton, WI 53589 | 2016-09-01 |
| 1114203296 | Marilyn Mary Mackinnon | Pharmacist | 1705 Highway Fifty One, Stoughton, WI 53589 | 2011-11-02 |
| 1053693028 | Alfred Bennin | Pharmacist | 1705 Us Hwy 51/138, Stoughton, WI 53589 | 2011-09-15 |
| 1447531892 | Tina Ann Ferguson | Pharmacist | 1705 Us Highway 51, Stoughton, WI 53589 | 2011-08-30 |
| 1285926972 | Jenifer Lee Stokstad | Registered Nurse | 3496 Hwy 138, Stoughton, WI 53589 | 2011-05-12 |
| 1447583018 | Stephanie Marie Kind | Licensed Practical Nurse | 608 W South St, Stoughton, WI 53589 | 2009-09-14 |
| 1386885721 | Scott Tauferner | Physical Therapist | 2300 Us Hwy 51-138, Stoughton, WI 53589 | 2009-03-16 |
| 1245495480 | Roundy's Supermarkets Inc | Pharmacy | 1750 Hwy 51 W, Stoughton, WI 53589 | 2008-07-28 |
| 1720278005 | Judith Davis | Clinical Neuropsychologist | 716 Roby Rd, Stoughton, WI 53589 | 2007-08-01 |
| Find all providers in zip 53589 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: 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 |
|---|---|---|---|---|
| 1801342464 | Lorchid Lanoway | Licensed Practical Nurse | 1817 Cedarbrook Ln, Unit 9, Stoughton, WI 53589 | 2016-09-01 |
| 1033663562 | David Festge | Licensed Practical Nurse | 2320 Jackson St, Unit 304, Stoughton, WI 53589-5492 | 2016-08-13 |
| 1619358322 | Kenneth David Dike | Licensed Practical Nurse | 15 Bergeron Way, Stoughton, MA 02072-1392 | 2015-06-18 |
| 1184060063 | Katie Molnar | Licensed Practical Nurse | 320 W Taft St, Stoughton, WI 53589-1675 | 2013-05-17 |
| 1104269927 | Jodi K Herbst | Licensed Practical Nurse | 1716 Oakridge Ct, Stoughton, WI 53589-4938 | 2013-04-10 |
| 1376895854 | Elisa Lynn West | Licensed Practical Nurse | 536 W Milwaukee St, Stoughton, WI 53589-2434 | 2012-10-09 |
| 1629371968 | Kelly J Howland | Licensed Practical Nurse | 787 S Van Buren St, Stoughton, WI 53589-2398 | 2010-12-08 |
| 1376874727 | Shelby Ann Stapelfeldt | Licensed Practical Nurse | 1277 Tower Dr, Stoughton, WI 53589-3847 | 2010-01-25 |
| 1447583018 | Stephanie Marie Kind | Licensed Practical Nurse | 608 W South St, Stoughton, WI 53589 | 2009-09-14 |
| 1528188646 | Tenneh Moibah Soko | Licensed Practical Nurse | 1649 Vernon St, #4, Stoughton, WI 53589-2277 | 2007-03-30 |
| Find all providers in STOUGHTON | ||||
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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.