ANN ELLIS LYP (NPI# 1275551723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275551723 |
| Entity Type | Individual |
| Full Name | ANN ELLIS LYP |
| Credential | APN |
| Practice Address |
3915 W 8th St Little Rock AR 72204-2028 |
| Mailing Address |
2 Poydras Dr Little Rock AR 72211-2127 |
| Practice Telephone | 5012803342 |
| Practice Fax Number | 5012803144 |
| Mailing Telephone | 5012803342 |
| Mailing Fax Number | 5012803144 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2013-06-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WC1500X |
Registered Nurse Specialization: Community Health |
R31695 | AR | Nursing Service Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
A001073 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3915 W 8TH ST |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72204-2028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447763032 | Charissa Marie Marshall | Nurse Practitioner | 3915 W 8th St, Little Rock, AR 72204-2028 | 2017-11-06 |
| 1124421011 | Virginia Shelby Zeno | Nurse Practitioner | 3915 W 8th St, Pulaski County Health Unit, 2nd Floor, Little Rock, AR 72204 | 2014-10-06 |
| 1346580628 | Cassandra Leeann Brown | Nurse Practitioner | 3915 W 8th St, Little Rock, AR 72204-2028 | 2013-02-22 |
| 1760534580 | Tina Diane Butler | Nurse Practitioner | 3915 W 8th St, Suite 222, Little Rock, AR 72204-2028 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669952966 | Shane Wilson | Non-emergency Medical Transport (VAN) | 1522 S Tyler St, Little Rock, AR 72204 | 2018-08-16 |
| 1659858348 | Poplar Grove Operations LLC | Skilled Nursing Facility | 7801 Kanis Road, Little Rock, AR 72204 | 2018-07-25 |
| 1275056004 | University of Arkansas for Medical Sciences | Orthopaedic Surgery | 108015 Colonel Glenn Rd, Little Rock, AR 72204 | 2017-07-24 |
| 1265954820 | Marilyn Marie Lynch | Registered Nurse | 7723 Colonel Glenn Road, Little Rock, AR 72204 | 2017-07-14 |
| 1962852954 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1122 S. University Ave, Little Rock, AR 72204 | 2016-06-21 |
| 1841607751 | Charity Gillespie | Registered Nurse | 5210 Timberland Dr, Little Rock, AR 72204 | 2014-07-14 |
| 1043625221 | Interventional Surgery Institute of Little Rock, LLC | Clinic/Center | 9 Freeway Drive, Suite A, Little Rock, AR 72204 | 2014-06-25 |
| 1548696065 | Jamie Washington | Prosthetic/Orthotic Supplier | 4701 Westwood Ave, Little Rock, AR 72204 | 2013-09-16 |
| 1124468913 | Stephanie Rachelle Jez | Genetic Counselor, MS | 5800 West 10th Street, Freeway Medical Building, Suite 7-500, Little Rock, AR 72204 | 2013-06-26 |
| 1336492321 | Alton Charles Phillips Sr. | Counselor | 4400shuffield Drive, Little Rock, AR 72204 | 2012-10-16 |
| Find all providers in zip 72204 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324216 | Taira Nicole Bernard | Nurse Practitioner | 6424 The Divide Pkwy Apt 106, Little Rock, AR 72223-5861 | 2020-04-07 |
| 1568932119 | Katie Jones | Nurse Practitioner | 1children's Way, Little Rock, AR 72211 | 2018-11-27 |
| 1689923831 | Joanna Lowery | Nurse Practitioner | 3 Childrens Way, Little Rock, AR 72202-3500 | 2012-09-04 |
| 1881941417 | Denice Marie Bozeman | Nurse Practitioner | 1 Childrens Way # 707, Little Rock, AR 72202-3500 | 2012-08-14 |
| 1699038711 | Jennifer Ellen Murphree | Nurse Practitioner | 1 Children's Way, St # 653, Little Rock, AR 72202 | 2012-06-22 |
| 1255579124 | Kimberly Ann Grundy | Nurse Practitioner | 800 Marshall St # 512-3, Little Rock, AR 72202-3510 | 2009-01-29 |
| 1093964223 | Emily Herndon Gribble | Nurse Practitioner | 800 Marshall St # Slot512, Little Rock, AR 72202-3510 | 2008-09-11 |
| 1285893552 | Carole Lee Mackey | Nurse Practitioner | 3600 Cantrell Rd, Ste 205 Slot 512-33, Little Rock, AR 72202-1893 | 2008-06-03 |
| 1407022734 | Julie Allison Watson Ko | Nurse Practitioner | 3600 Cantrell Rd Ste 205, Little Rock, AR 72202-1892 | 2008-05-06 |
| 1427136969 | Shuna Thomas | Nurse Practitioner | 25 Rahling Cir Ste C1, Little Rock, AR 72223-6000 | 2006-11-01 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72204 |
Please comment or provide details below to improve the information on ANN ELLIS LYP.
| 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.