CHERYL ELLIS (NPI# 1689819435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689819435 |
| Entity Type | Individual |
| Full Name | CHERYL ELLIS |
| Other Name | CHERYL BEISNER |
| Credential | APN |
| Practice Address |
7 South Hospital Drive Murphysboro IL 62966-3333 |
| Mailing Address |
109 California St Carterville IL 62918-1923 |
| Practice Telephone | 6186873418 |
| Practice Fax Number | 6186871859 |
| Mailing Telephone | 6189858221 |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2013-11-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 209007184 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 370966854005 | 05 | |
| IL | 370966854002 | 05 | |
| IL | HEALTH ALLIANCE | 161401 | 01 |
| IL | MEDICARE RR | CF3444 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689812083 | Cheryl Leigh Ellis | Specialist/Technologist | 1305 Dantignac St, Augusta, GA 30901-2774 | 2009-01-23 |
| 1265548895 | Cheryl Ellis | Psychologist | 11 Mountain Ave, Suite 204, Bloomfield, CT 06002-2343 | 2006-08-23 |
| 1366460636 | Cheryl Ann Ellis | Physical Medicine & Rehabilitation | 2415 De La Vina St, Santa Barbara, CA 93105-3819 | 2006-07-17 |
| Street Address |
7 SOUTH HOSPITAL DRIVE |
| City | MURPHYSBORO |
| State | IL |
| Zip Code | 62966-3333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760426316 | Todd Smith | Family Medicine | 7 South Hospital Drive, Murphysboro, IL 62966-3333 | 2006-06-15 |
| 1306869557 | Jeffrey Ripperda | Family Medicine | 7 South Hospital Drive, Murphysboro, IL 62966-3333 | 2006-07-26 |
| 1245260645 | Shawnee Health Service and Development Corp | Family Medicine | 7 South Hospital Drive, Murphysboro, IL 62966-3333 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093272999 | Lifenet, Inc. | Ambulance | 430 N Airport Rd, Murphysboro, IL 62966 | 2019-02-27 |
| 1538678354 | Anita Tallegien Daneshdoost | Physical Therapist | 1725 Shomaker Drive, Murphysboro, IL 62966 | 2017-09-25 |
| 1295281558 | Alternatives Counseling Inc. | Community/Behavioral Health | 1400 N Wood Road, Murphysboro, IL 62966 | 2016-08-28 |
| 1962855833 | Andrea Maren Whipple | Counselor | 617 Walnut St, Murphysboro, IL 62966 | 2016-07-15 |
| 1730544180 | Lasharon Smith | Non-emergency Medical Transport (VAN) | 37 Nins Lane, Murphysboro, WI 62966 | 2015-12-29 |
| 1710241328 | Kati K Rush | Podiatrist | 19 E Shawnee Dr Ste 3, Murphysboro, IL 62966 | 2012-06-28 |
| 1386709418 | Hoai P Nguyen | Dentist | 1116 Locust Street, Murphysboro, IL 62966 | 2006-12-27 |
| 1154416576 | Hayley Autumn Hood | Occupational Therapist | 6 East Shawnee, Murphysboro, IL 62966 | 2006-10-03 |
| 1356435135 | Southern Illinois Hospital Services | General Acute Care Hospital | 2 South Hospital Drive, Murphysboro, IL 62966 | 2006-10-03 |
| 1699879825 | Stephen Craig Mills | Chiropractor | 1010 N 14th St, Murphysboro, IL 62966 | 2006-09-08 |
| Find all providers in zip 62966 | ||||
| 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 |
|---|---|---|---|---|
| 1508859943 | Peggy L Legan | Nurse Practitioner | 6 E Shawnee Dr, Center for Wound Healing, Murphysboro, IL 62966-7048 | 2005-08-30 |
| 1164939070 | Brandi J Swift | Nurse Practitioner | 7 S Hospital Dr, Murphysboro, IL 62966 | 2018-01-02 |
| 1679740708 | Felicia Desha Kimbrough | Nurse Practitioner | 7 S Hospital Dr, Murphysboro, IL 62966-3333 | 2008-05-08 |
| 1225144033 | Gloria L Canaley | Nurse Practitioner | 7 S Hospital Dr, Murphysboro, IL 62966-3333 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578523 | Kaitlin Lawson Kalnitz | Nurse Practitioner | 745 Mcclintock Dr Ste 360, Burr Ridge, IL 60527-0875 | 2020-11-06 |
| 1841890290 | Maria Malanych | Nurse Practitioner | 5731 Rosinweed Ln, Naperville, IL 60564-1635 | 2020-10-27 |
| 1639778160 | Roxanna Lee Gunnels | Nurse Practitioner | 1 Bronze Pointe Plaza Suite 1a, Swansea, IL 62226 | 2020-10-26 |
| 1295334811 | Mary Farley | Nurse Practitioner | 7308 Northwood Dr, Wonder Lake, IL 60097-8606 | 2020-10-24 |
| 1164021168 | Stephanie Schuster | Nurse Practitioner | 2665 Prairieview Ln N, Aurora, IL 60502-6343 | 2020-10-21 |
| 1316546641 | Vanessa K Bajaj | Nurse Practitioner | 1123 N Claremont Dr, Palatine, IL 60074-4002 | 2020-10-19 |
| 1003414442 | Gachugu Medical Clinic | Nurse Practitioner | 1 E Ferguson Ave, Wood River, IL 62095-1903 | 2020-10-16 |
| 1477151272 | Yolanda K Bradford | Nurse Practitioner | 2700 S California Ave, Chicago, IL 60608-5108 | 2020-10-14 |
| 1265030019 | Andrea Mclean | Nurse Practitioner | 2500 W Reynolds St # 205, Pontiac, IL 61764-9774 | 2020-10-14 |
| 1558968628 | Timothy Nenoff | Nurse Practitioner | 24722 Lincolnway St, Plainfield, IL 60544-2412 | 2020-10-02 |
| Find all providers with the same taxonomy | ||||
| City | MURPHYSBORO |
| Zip Code | 62966 |
Please comment or provide details below to improve the information on CHERYL ELLIS.
| 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.