EDITH ELLSWORTH (NPI# 1972786986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972786986 |
| Entity Type | Individual |
| Full Name | EDITH ELLSWORTH |
| Credential | APRN, BC |
| Practice Address |
724 46th St S Great Falls MT 59405-3706 |
| Practice Telephone | 4062174073 |
| Mailing Telephone | 4062174073 |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2017-01-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
NUR-APRN-LIC-999 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
724 46TH ST S |
| City | GREAT FALLS |
| State | MT |
| Zip Code | 59405-3706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902446180 | Reilly Kunz | Physical Therapist | 2621 15th Ave South, Great Falls, MT 59405 | 2020-01-15 |
| 1336617224 | Brandi Noel Sauer | Behavior Technician | 1601 2nd Ave North Suite 518, Great Falls, MT 59405 | 2018-11-08 |
| 1982103446 | Traci Raines Aprn Pllc | Nurse Practitioner | 120 Marillyn Dr, Great Falls, MT 59405 | 2018-02-09 |
| 1003332818 | Great Falls Health Supplies | Durable Medical Equipment & Medical Supplies | 1720 10th Ave., South, Suite 4-151, Great Falls, MT 59405 | 2017-08-15 |
| 1518489426 | Jessica Lynn Keller | Specialist/Technologist | 720 46th Street South, Great Falls, MT 59405 | 2017-07-12 |
| 1235678475 | Vanessa Claudia Hernandez | Occupational Therapist | 2621 15 Ave So, Great Falls, MT 59405 | 2017-02-21 |
| 1871039339 | Morgan Laux Olsen | Specialist/Technologist | 1301 20th St S, Great Falls, MT 59405 | 2017-01-09 |
| 1558807198 | Greg Robert Lipton | Occupational Therapist | 2621 15th Ave So, Great Falls, MT 59405 | 2017-01-06 |
| 1386180925 | Jessica Lee Krahn | Physical Therapist | 2621 15th Ave So., Great Falls, MT 59405 | 2017-01-06 |
| 1811430150 | Juli Brandvold | Massage Therapist | 2400 4th Ave S., Great Falls, MT 59405 | 2016-11-18 |
| Find all providers in zip 59405 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114588381 | Jaimee Gregoire | Nurse Practitioner | 1401 26th St S, Womens Health, Great Falls, MT 59405-5183 | 2019-06-27 |
| 1629504154 | Shawna Renee Applegate | Nurse Practitioner | 115 4th St S., Great Falls, MT 59404 | 2017-05-03 |
| 1356793731 | Brandon Hawk | Nurse Practitioner | 800 47th St S, Great Falls, MT 59405-5724 | 2016-07-08 |
| 1477903722 | Hansen Family Practice | Nurse Practitioner | 2300 12th Ave S Ste 10, Great Falls, MT 59405-5017 | 2016-06-17 |
| 1083002729 | Dawn R Underwood | Nurse Practitioner | 28 Eaton Ave, Great Falls, MT 59405-8105 | 2015-01-05 |
| 1689062416 | Nell Ryan | Nurse Practitioner | 3523 8th Ave S, Great Falls, MT 59405-3462 | 2015-01-01 |
| 1770991804 | Bobby Gene Lucas | Nurse Practitioner | 2517 7th Ave S Ste B2, Great Falls, MT 59405-3033 | 2014-08-01 |
| 1871844597 | Tera Lynn Delaney | Nurse Practitioner | 1417 9th St South, Suite 201, Great Falls, MT 59405 | 2012-09-20 |
| 1306007075 | Kimberly B Heck | Nurse Practitioner | 2709 Greenbriar Dr, Great Falls, MT 59404-3639 | 2008-06-24 |
| 1932262599 | Raymone Jeanine Annau | Nurse Practitioner | 900 6th St Sw, Suite2, Great Falls, MT 59404-3207 | 2006-12-18 |
| Find all providers in GREAT FALLS | ||||
| City | GREAT FALLS |
| Zip Code | 59405 |
Please comment or provide details below to improve the information on EDITH ELLSWORTH.
| 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.