CONNIE ELLIOTT (NPI# 1942669130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942669130 |
| Entity Type | Individual |
| Full Name | CONNIE ELLIOTT |
| Practice Address |
1419 W Bella Drive Marion IN 46953-5250 |
| Mailing Address |
330 N Wabash Marion IN 46952-2600 |
| Practice Telephone | 7656607580 |
| Practice Fax Number | 7656713508 |
| Mailing Telephone | 7656607600 |
| Mailing Fax Number | 7656517313 |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2020-10-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71006017A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM | 000000992951 | 01 |
| IN | 201347420 | 05 |
| Street Address |
1419 W BELLA DRIVE |
| City | MARION |
| State | IN |
| Zip Code | 46953-5250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841293081 | Arndt E Mueller | Obstetrics & Gynecology | 1419 W Bella Drive, Marion, IN 46953-5250 | 2005-05-23 |
| 1194954560 | Vinodha Nagesh | Obstetrics & Gynecology | 1419 W Bella Drive, Marion, IN 46953-5250 | 2009-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396280335 | Sherri Gaye Hall Hamilton | Nurse Practitioner | 1700 West 38th Street, Marion, IN 46953 | 2016-12-29 |
| 1487022810 | Hannah Renfrow | Nurse Practitioner | 1411 W Bella Drive, Marion, IN 46953 | 2015-09-02 |
| 1174907844 | Kathleen Marie Kunkle | Occupational Therapy Assistant | 729 35th St., Marion, IN 46953 | 2015-07-13 |
| 1386054302 | Sarah Michelle Schultz | Specialist/Technologist | 4201 S Washington Street, Indiana Wesleyan University Athletic Training, Marion, IN 46953 | 2014-04-29 |
| 1437595022 | Famila Dental Marion LLC | Dentist | 1903 S Western Ave, Marion, IN 46953 | 2013-05-22 |
| 1063654887 | Mill Township Volunteer Fire Department | Ambulance | 2113 E. Old Kokomo Road, Marion, IN 46953 | 2009-03-25 |
| 1023203601 | Assisted Living Concepts Inc | Assisted Living Facility | 725 West 50th Street, Marion, IN 46953 | 2007-09-07 |
| 1538381991 | Lifetime Dental Care of Indiana, PC | Dentist | 2017 South Western Ave, Marion, IN 46953 | 2007-05-03 |
| 1063634699 | Bethany Dawn Coppock | Occupational Therapy Assistant | 4725 Colonial Oaks Drive, Marion, IN 46953 | 2007-05-03 |
| 1568684439 | Donna B Berryhill | Physical Therapy Assistant | 4725 South Colonial Oaks Drive, Marion, IN 46953 | 2007-05-02 |
| Find all providers in zip 46953 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790391977 | Pamela Jane Clarida | Nurse Practitioner | 1001 E Illinois St, Marion, IL 62959-3711 | 2020-09-22 |
| 1194330845 | Jamie Jones Hayden | Nurse Practitioner | 134 Willow Springs Rd, Marion, VA 24354-6700 | 2020-09-10 |
| 1992331714 | Andrea Williams | Nurse Practitioner | 55 Mckenzie Cv, Marion, AR 72364-2661 | 2020-03-13 |
| 1073159984 | Angela Hamill | Nurse Practitioner | 924 Ar 77, Marion, AR 72364 | 2019-11-26 |
| 1902466220 | Aimee Wiggins Martin | Nurse Practitioner | 1649 W Highway 76, Marion, SC 29571-6621 | 2019-06-18 |
| 1801358163 | William Wayne Thomas II | Nurse Practitioner | 2808 Outer Dr, Marion, IL 62959-5207 | 2019-04-04 |
| 1033670062 | Era Louise Mattingly | Nurse Practitioner | 11522 White Pine Ave, Marion, IL 62959-8379 | 2019-03-31 |
| 1598223414 | Jeanni A. Gerwin | Nurse Practitioner | 1125 Ellen Kay Dr Ste A, Marion, OH 43302-6358 | 2019-03-10 |
| 1619431780 | Lisa Dawn Powell | Nurse Practitioner | 2921 Hwy 77 S Ste 12-13, Marion, AR 72364-2367 | 2019-01-23 |
| 1285110551 | Marcie Ann Ellington | Nurse Practitioner | 518 W Gum St, Marion, KY 42064-1516 | 2018-07-19 |
| Find all providers in MARION | ||||
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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.