BONNIE ELIZABETH ELLZEY (NPI# 1972129609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972129609 |
| Entity Type | Individual |
| Full Name | BONNIE ELIZABETH ELLZEY |
| Credential | RN |
| Practice Address |
7691 Poplar Ave Germantown TN 38138-3904 |
| Mailing Address |
5788 Deer Ridge Dr Southaven MS 38672-6567 |
| Practice Telephone | 9016744161 |
| Practice Fax Number | 9012840907 |
| Mailing Telephone | 9016744161 |
| Mailing Fax Number | 9012840907 |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2020-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
902486 | MS | Nursing Service Providers |
| Street Address |
7691 POPLAR AVE |
| City | GERMANTOWN |
| State | TN |
| Zip Code | 38138-3904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700886926 | Robert Neal Rayder | Emergency Medicine | 7691 Poplar Ave, Attn: Emergency Room, Germantown, TN 38138-3904 | 2005-07-29 |
| 1104435148 | Jeannette Marie Gomez | Nurse Practitioner | 7691 Poplar Ave, Germantown, TN 38138-3904 | 2020-07-27 |
| 1710505391 | Joseph Brock Shemwell | Registered Nurse | 7691 Poplar Ave, Germantown, TN 38138-3904 | 2020-07-09 |
| 1164056693 | Tatyana Dromova Pasley | Nurse Practitioner | 7691 Poplar Ave, Germantown, TN 38138-3904 | 2020-02-24 |
| 1255896957 | Hilary Kabel | Nurse Practitioner | 7691 Poplar Ave, Germantown, TN 38138-3904 | 2019-02-06 |
| 1194205823 | Kimala Moseby-fowler | Nurse Practitioner | 7691 Poplar Ave, Germantown, TN 38138 | 2018-08-21 |
| 1467950105 | Tunja Rash | Nurse Practitioner | 7691 Poplar Ave, Germantown, TN 38138-3904 | 2018-01-29 |
| 1952822843 | Christie Lynn Ragan | Specialist/Technologist, Other | 7691 Poplar Ave, Germantown, TN 38138-3904 | 2017-06-29 |
| 1972023943 | Thomas Clay Carruth | Nurse Practitioner | 7691 Poplar Ave, Germantown, TN 38138-3904 | 2017-06-21 |
| 1942741889 | Ladonna Renee Edwards | Nurse Practitioner | 7691 Poplar Ave, Germantown, TN 38138-3498 | 2017-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382281 | Bluff Medical Group | Nurse Practitioner | 1779 Kirby Parkway, Suite 1-212, Germantown, TN 38138 | 2020-10-07 |
| 1689293797 | Diana Bryn Manning | Dietitian, Registered | 7705 Poplar Ave., Medical Office B, Suite 150, Germantown, TN 38138 | 2020-04-09 |
| 1386102796 | Moscow Group LLC | Pharmacy | 2013 Exeter Rd, Germantown, TN 38138 | 2019-03-05 |
| 1952811010 | Select | Counselor | 9045 Forest Centre Dr Ste 102, Germantown, TN 38138 | 2017-10-03 |
| 1033638994 | 901 Physical Therapy, Pllc | Physical Therapist | 2495 Regents Walk, Germantown, TN 38138 | 2017-09-12 |
| 1124552401 | Elite Dental Germantown Plc | Dentist | 9064 Corporate Gradens Drive, Germantown, TN 38138 | 2017-04-13 |
| 1740728880 | Christian C Haynes | Nurse Anesthetist, Certified Registered | 1900 Exeter Rd., Suite 210, Germantown, TN 38138 | 2017-02-09 |
| 1740644004 | Kimberly Brooke Scheidegger | Counselor | 9045 Forest Centre Way, Heartlife Professional Soul Care, Germantown, TN 38138 | 2016-04-12 |
| 1427411644 | Jimmy Tam Tran | Internal Medicine | 7550 Wolf River Blvd., Ste. 102, Germantown, TN 38138 | 2016-04-04 |
| 1952761876 | Jane Chin Wynn Yeoh | Orthopaedic Surgery | 1400 South Germantown Road, Germantown, TN 38138 | 2016-03-04 |
| Find all providers in zip 38138 | ||||
| Taxonomy Code | 163WM0705X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Medical-Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861837544 | Jason Easter | Registered Nurse | 36 Rogers Dr, Germantown, OH 45327-9307 | 2013-05-07 |
| 1285103705 | Laura Elizabeth Haumesser | Registered Nurse | 1900 Exeter Rd Ste 210, Germantown, TN 38138-2954 | 2018-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871991141 | Tina Davidson | Registered Nurse | 2540 Van Eaton Ln, Memphis, TN 38133-5147 | 2014-12-18 |
| 1861754004 | Jonathan George Jackson | Registered Nurse | 120 Stockton Rd, Chuckey, TN 37641-5900 | 2012-06-13 |
| 1629337423 | Elizabeth Ellen Larkins | Registered Nurse | Ward C2 Bldg 200, James H. Quillen Vamc, Mountain Home, TN 37684 | 2012-05-14 |
| 1942574405 | Christy Nichols Johnson | Registered Nurse | 1500 E Holston Ave, Johnson City, TN 37601-2736 | 2012-03-01 |
| 1801082623 | Carrie Rhoad | Registered Nurse | 2181 Fiesta Dr, Cookeville, TN 38501-4449 | 2007-09-16 |
| 1407049240 | Glenda M Feild | Registered Nurse | 430 Whitehall Ct, Eads, TN 38028-3300 | 2007-08-24 |
| 1679771554 | Andrea Lynn Wynn | Registered Nurse | 1801 S Holtzclaw Ave, Chattanooga, TN 37404-4806 | 2007-07-03 |
| 1053524215 | Rebecca Joan Osborne | Registered Nurse | 1319 Sunset Dr Ste 201, Johnson City, TN 37604-7900 | 2007-05-07 |
| 1932320785 | Martha J Rebman | Registered Nurse | 809 Sylvania Dr, Nashville, TN 37207-1314 | 2007-05-01 |
| 1982215430 | Isaac Matthew Shepard Weaver | Registered Nurse | 809 Lamont St, Johnson City, TN 37604-5453 | 2020-08-10 |
| Find all providers with the same taxonomy | ||||
| City | GERMANTOWN |
| Zip Code | 38138 |
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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.