MRS. TARA LYNN ELLIS (NPI# 1003325424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003325424 |
| Entity Type | Individual |
| Full Name | MRS. TARA LYNN ELLIS |
| Credential | RN |
| Practice Address |
23 Husky Lane Malone NY 12953 |
| Mailing Address |
530 Porter Rd Malone NY 12953-3804 |
| Practice Telephone | 5184835230 |
| Mailing Telephone | 15184835230 |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2017-09-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
591941 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366545980 | Tara Flynn Ellis | Registered Nurse | 1968 Peachtree Rd, Atlanta, GA 30309 | 2006-09-07 |
| 1700346202 | Tara Ellis | Counselor | 815 K St, Lincoln, NE 68508-2960 | 2019-03-21 |
| 1275005423 | Tara Ellis | Physical Therapist | 909 N Washington Ave, Dallas, TX 75246-1520 | 2018-12-28 |
| 1972842532 | Tara Kay Ellis | Speech-Language Pathologist | 1211 S 29th St, Chickasha, OK 73018-9651 | 2013-02-01 |
| 1861719643 | Tara Ellis | Social Worker | 675 Main St, Middletown, CT 06457-2718 | 2010-05-03 |
| Street Address |
23 HUSKY LANE |
| City | MALONE |
| State | NY |
| Zip Code | 12953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386264356 | Ruth Ann Williamson | Nurse Practitioner | 31 Sixth St., Malone, NY 12953 | 2020-04-20 |
| 1780203760 | Heather Lynn Lauzon | Peer Specialist | 15 Fouth St, Malone, NY 12953 | 2020-04-10 |
| 1245717115 | Darlean James | Family Medicine | 183 Park St Ste 5678, Malone, NY 12953 | 2018-07-24 |
| 1164929212 | Cheryl Ann Grant | Registered Nurse | 15 Fourth Street, Malone, NY 12953 | 2018-04-06 |
| 1811408826 | Nancy Denis | Registered Nurse | 133 Park Street, Alice Hyde Medical Center, Malone, NY 12953 | 2017-10-17 |
| 1578092185 | Shanna Lee Cayea | Peer Specialist | 31 6th Street, Malone, NY 12953 | 2017-06-07 |
| 1184007809 | Alice Hyde Medical Center | Home Health | 45 Sixth St, Malone, NY 12953 | 2015-06-30 |
| 1427303353 | Melissa J Benardot | Nurse Practitioner | 380 Cty Rt 57, Community Health Center, Malone, NY 12953 | 2012-07-17 |
| 1013272202 | Shafiu Oladele Ololade | Internal Medicine | 10 Third Street, Malone, NY 12953 | 2012-07-12 |
| 1962769935 | Stephanie Ann Laplant | Registered Nurse | 99 Elm Street, Malane, NY 12953 | 2012-04-16 |
| Find all providers in zip 12953 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417214446 | Kim M Premo | Registered Nurse | 524 East Main Street, Flanders Elementary School, Malone, NY 12953 | 2012-04-16 |
| 1710243613 | Leisa Kay Dwyer | Registered Nurse | 183 Webster Street, Davis Elementary, Malone, NY 12953 | 2012-04-04 |
| 1508123530 | Michele Mary Thomas | Registered Nurse | 42 Huskie Lane, Malone, NY 12953 | 2012-04-16 |
| 1336405414 | Pamela Marie Merrick | Registered Nurse | 15 Francis St, Malone, NY 12953 | 2012-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760343 | Dorothy Christine Whitman | Registered Nurse | Wayland -cohocton Central School, 2350 Route 63, Wayland, NY 14572 | 2020-11-06 |
| 1841899028 | Kara Chalk Hartnett | Registered Nurse | 36 Mcmahon Ave, Corning, NY 14830-3316 | 2020-10-20 |
| 1801495056 | Connie L Miller | Registered Nurse | 5825 Catalpa Ave, Ridgewood, NY 11385-5001 | 2020-10-20 |
| 1225635014 | Alice Liang | Registered Nurse | 35 East 110th St, New York, NY 10029 | 2020-10-05 |
| 1689281198 | Jessica Fermin | Registered Nurse | 216 Avenue M Apt 1f, Brooklyn, NY 11230-4689 | 2020-09-29 |
| 1700493236 | Leslie Marie Lamirande | Registered Nurse | Van Buren Elementary School, 14 Ford Street, Baldwinsville, NY 13027 | 2020-09-29 |
| 1922615822 | Alyssa Jane Arlen | Registered Nurse | 4704 State Route 149, Hartford, NY 12838 | 2020-09-25 |
| 1790391845 | Anna Kichuk | Registered Nurse | 160 School Ln, Frankfort, NY 13340-4710 | 2020-09-23 |
| 1073127163 | Chava Bokchin | Registered Nurse | 6200 15th Avenue, Brooklyn, NY 11219 | 2020-09-04 |
| 1578172219 | Sasha Sara Martell | Registered Nurse | 2119 27th St Apt D1, Astoria, NY 11105-3014 | 2020-07-29 |
| Find all providers with the same taxonomy | ||||
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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.