KARYN MARIE ELLIS (NPI# 1225178346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225178346 |
| Entity Type | Individual |
| Full Name | KARYN MARIE ELLIS |
| Credential | PNP |
| Practice Address |
179 Quincy St Brockton MA 02302-2966 |
| Mailing Address |
1388 Middleboro Ave East Taunton MA 02718-1500 |
| Practice Telephone | 5084277700 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2011-01-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
264507 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841532066 | Karyn L Ellis | Counselor | 4807 196th St Sw, Ste 100, Lynnwood, WA 98036-6430 | 2013-03-26 |
| 1851662563 | Karyn Ellis | Social Worker | 4925 N Albina Ave, Portland, OR 97217-2609 | 2012-01-26 |
| Street Address |
179 QUINCY ST |
| City | BROCKTON |
| State | MA |
| Zip Code | 02302-2966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790763324 | David Alvarez-morales | Pediatrics | 179 Quincy St, Brockton, MA 02302-2959 | 2006-01-04 |
| 1912406273 | Arielle Berish | Registered Nurse | 179 Quincy St, Brockton, MA 02302-2966 | 2018-02-01 |
| 1427505874 | Natalie Elizabeth Schaeffer | Optometrist | 179 Quincy St, Brockton, MA 02302-2966 | 2016-09-01 |
| 1780910513 | Melissa L Clifford | Nurse Practitioner | 179 Quincy St, Brockton, MA 02302-2966 | 2009-10-29 |
| 1033386057 | Sharmila Srinivasan | Ophthalmology | 179 Quincy St, Brockton, MA 02302-2966 | 2008-05-08 |
| 1942301239 | Allied Pediatrics of Greater Brockton Inc. | Pediatrics | 179 Quincy St, Brockton, MA 02302-2966 | 2006-09-26 |
| 1891804852 | Paul B Cotter Md PC | Ophthalmology | 179 Quincy St, Brockton, MA 02302 | 2006-08-30 |
| 1326050212 | Amy Gurland | Optometrist | 179 Quincy St, Brockton, MA 02302 | 2006-08-12 |
| 1346273646 | Ronald J Sunog | Pediatrics | 179 Quincy St, Brockton, MA 02302-2966 | 2006-07-09 |
| 1245200260 | Marianne Ruskay Glassanos | Nurse Practitioner | 179 Quincy St, Brockton, MA 02302-2959 | 2006-01-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427513373 | Miriam Monteiro | Social Worker | 688 Plain Street, Brockton, MA 02302 | 2019-02-05 |
| 1619432523 | Shirley Elefson | Social Worker | 330 Crescent Street, Brockton, MA 02302 | 2019-02-05 |
| 1578055505 | Steigmward Desir | Specialist | 472 E Ashland St, Brockton, MA 02302 | 2018-06-05 |
| 1114417797 | Katherine Douglas Van Schaik | Student in an Organized Health Care Education/Training Program | Brockton Signature Healthcare-bidmc, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700376365 | Emmanuel Carrodeguas | Student in an Organized Health Care Education/Training Program | Brockton Hospital, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700303856 | My Care, LLC | Home Health | 307 Field Street, Brockton, MA 02302 | 2017-08-29 |
| 1982124988 | Shavon Franks | Psychologist | 30 Downey Rd, Brockton, MA 02302 | 2017-06-21 |
| 1831629286 | Kings & Queens Empowered | Religious Nonmedical Health Care Institution | 312 Carl Ave, Brockton, MA 02302 | 2017-06-18 |
| 1487193389 | Roseline Eliezer | Licensed Practical Nurse | 17 Simeon Avenue, Brockton, MA 02302 | 2017-02-13 |
| 1184008989 | Danielle Parker | Student in an Organized Health Care Education/Training Program | 23 Grinnell Rd, Brockton, MA 02302 | 2015-07-13 |
| Find all providers in zip 02302 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689152951 | Christina Curtis | Nurse Practitioner | 830 Oak St Ste 200w, Brockton, MA 02301-1186 | 2018-07-30 |
| 1750593935 | Dana L Blanks | Nurse Practitioner | 201 Quincy Street, Brockton, MA 02302 | 2007-05-03 |
| 1033680541 | Lauren Kaplan | Nurse Practitioner | 1324 Belmont St Ste 105, Brockton, MA 02301-4435 | 2018-12-09 |
| 1154879518 | Brittany Regal | Nurse Practitioner | 320 Main St, Brockton, MA 02301-5340 | 2016-09-14 |
| 1083065858 | Mary P Cahill | Nurse Practitioner | 63 Main St, Brockton, MA 02301-4042 | 2016-06-23 |
| 1003113291 | Christine Nichole Lattuada | Nurse Practitioner | 1 Pearl St, Suite 2000, Brockton, MA 02301-2864 | 2011-02-24 |
| 1780910513 | Melissa L Clifford | Nurse Practitioner | 179 Quincy St, Brockton, MA 02302-2966 | 2009-10-29 |
| 1679732945 | Amy Alleman | Nurse Practitioner | 63 Main St, Brockton, MA 02301 | 2008-06-03 |
| 1598956146 | Dayana Duguerre | Nurse Practitioner | 63 Main St, Brockton, MA 02301-4042 | 2007-08-08 |
| 1881789303 | Maryanne P Ladd | Nurse Practitioner | 65 Libby St, Brockton, MA 02302-2949 | 2006-10-03 |
| Find all providers in BROCKTON | ||||
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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.