RANDALL W ELLIS (NPI# 1073901971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073901971 |
| Entity Type | Individual |
| Full Name | RANDALL W ELLIS |
| Credential | RN |
| Practice Address |
2 Keewaydin Dr Salem NH 03079-2839 |
| Mailing Address |
2 Keewaydin Drive Salem NH 03079 |
| Practice Telephone | 8009952673 |
| Practice Fax Number | 8889796551 |
| Mailing Telephone | 8009952673 |
| Mailing Fax Number | 8889796551 |
| Enumeration Date | 2014-12-30 |
| Last Update Date | 2014-12-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WE0003X |
Registered Nurse Specialization: Emergency |
RN53627 | ME | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740328046 | Randall A. Ellis | Dentist | 312 Arkansas Blvd, Texarkana, AR 71854-1905 | 2007-02-01 |
| 1427026095 | Randall William Ellis | Dentist | 2859 E Fountain Blvd, Colorado Springs, CO 80910-2312 | 2006-03-09 |
| 1396784138 | Randall E Ellis | Emergency Medicine | 2320 Wilma Rudolph Blvd, Clarksville, TN 37040-5821 | 2006-06-06 |
| Street Address |
2 KEEWAYDIN DR |
| City | SALEM |
| State | NH |
| Zip Code | 03079-2839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902922610 | Katy Merritt | Physical Therapist | 2 Keewaydin Dr, Salem, NH 03079-2839 | 2007-03-22 |
| 1821533944 | Ilona Van Der Ven | Registered Nurse | 2 Keewaydin Dr, Salem, NH 03079-2839 | 2016-12-28 |
| 1992240170 | Kai Wen Cheng | Physical Therapist | 2 Keewaydin Dr, Salem, NH 03079-2839 | 2016-12-27 |
| 1619412996 | Christine Pearson | Registered Nurse | 2 Keewaydin Dr, Salem, NH 03079-2839 | 2016-12-22 |
| 1346784873 | Kathryn Fewell | Licensed Practical Nurse | 2 Keewaydin Dr, Salem, NH 03079-2839 | 2016-12-19 |
| 1144764747 | Susan Thompson | Registered Nurse | 2 Keewaydin Dr, Salem, NH 03079-2839 | 2016-12-15 |
| 1578007449 | Sarah White | Licensed Practical Nurse | 2 Keewaydin Dr, Salem, NH 03079-2839 | 2016-12-13 |
| 1376087379 | Linda Seamon | Registered Nurse | 2 Keewaydin Dr, Salem, NH 03079-2839 | 2016-12-09 |
| 1053855072 | Taylor Woodaman | Registered Nurse | 2 Keewaydin Dr, Salem, NH 03079-2839 | 2016-12-09 |
| 1154864734 | Maggie Trotter | Licensed Practical Nurse | 2 Keewaydin Dr, Salem, NH 03079-2839 | 2016-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689156945 | Susan Lou Harris | Social Worker | 56 Zion Hill Rd, Salem, NH 03079 | 2018-09-04 |
| 1861970972 | Norrine Mcnelley | Nurse Practitioner | 25 Beechwood Rd, Salem, NH 03079 | 2018-07-31 |
| 1275024135 | Rhode Island Optometrics, LLC | Optometrist | 42 Samoset Dr, Salem, NH 03079 | 2018-05-25 |
| 1003338666 | Rachel Blazich | Specialist/Technologist | 25 General Pulaski Drive, Salem, NH 03079 | 2017-07-14 |
| 1902327935 | Brenda Michelle Karibian | Nurse Practitioner | 9 Gardner Ave, Salem, NH 03079 | 2017-06-29 |
| 1730559154 | Jessica Meredith Cooper | Naturopath | 23 Stiles Rd Ste 210, Salem, NH 03079 | 2015-09-28 |
| 1659754257 | Shuja U Saleem, M.d. | Obstetrics & Gynecology | 23 Stiles Rd., #217, Salem, NH 03079 | 2015-07-01 |
| 1457739724 | Marisa O'brien | Registered Nurse | 2 Keewayin Drive, Salem, NH 03079 | 2015-05-07 |
| 1215360805 | Jeffrey Malone | Counselor | 103 Cluff Crossing, P-3, Salem, NH 03079 | 2013-08-19 |
| 1184964546 | Larissa Grace Pickett | Specialist | 195 North Broadway, Salem Sports and Rehab, Salem, NH 03079 | 2013-02-21 |
| Find all providers in zip 03079 | ||||
| Taxonomy Code | 163WE0003X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Emergency |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235677873 | Christopher Lee | Registered Nurse | 402 W Cherry St, Salem, IN 47167-1402 | 2017-02-02 |
| 1003465865 | Tanya Willard | Registered Nurse | 1900 Electric Rd, Salem, VA 24153-7474 | 2019-09-05 |
| 1518410273 | Karen Richardson-finney | Registered Nurse | 2 Keewaydin Dr, Salem, NH 03079-2839 | 2016-07-29 |
| 1598144750 | Carla Sveeggen | Registered Nurse | 2 Keewaydin Dr, Salem, NH 03079-2839 | 2015-05-21 |
| 1629457064 | Kayleigh Banks | Registered Nurse | 2 Keewaydin Dr, Salem, NH 03079-2839 | 2015-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932714995 | Kerry Ellen Keazer | Registered Nurse | 15 Abbott St Apt 2, Lebanon, NH 03766-1633 | 2020-09-15 |
| 1285298695 | Robert Binger | Registered Nurse | 655 S Willow St # 128, Manchester, NH 03103-5705 | 2019-05-01 |
| 1861742959 | Vinette Langford | Registered Nurse | 18 Castle Hill Rd, Pelham, NH 03076-2103 | 2012-09-15 |
| 1790206522 | Caitlin Bova | Registered Nurse | 1 Elliot Way, Manchester, NH 03103-3502 | 2017-07-01 |
| 1497285464 | Justin Jeffrey Godin | Registered Nurse | 25 S River Rd, Bedford, NH 03110-6708 | 2017-06-13 |
| 1780018218 | Marie C Szczesny | Registered Nurse | 3073 White Mountain Hwy, Memorial Hospital, North Conway, NH 03860-7101 | 2013-09-03 |
| 1780823310 | Terry Anne Bobseine | Registered Nurse | 718 Smyth Rd, Manchester, NH 03104-7007 | 2009-02-04 |
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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.