HALEY MARIE ELLIS


Address: 401 9th Ave Nw, Watertown, SD 57201-1548
Phone: 6058827000

HALEY MARIE ELLIS (NPI# 1306485172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306485172
Entity Type Individual
Full Name HALEY MARIE ELLIS
Credential CNP
Practice Address 401 9th Ave Nw
Watertown
SD 57201-1548
Practice Telephone 6058827000
Practice Fax Number 6058827819
Mailing Telephone 6058827000
Mailing Fax Number 6058827819
Enumeration Date 2019-12-27
Last Update Date 2020-03-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse R036298 SD Nursing Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
CP001704 SD Physician Assistants & Advanced Practice Nursing Providers

Other Providers HALEY ELLIS

NPI Name Taxonomy Address Enumeration
1801405154 Haley Marie Ellis Behavior Technician 4655 Rosebud Ln, Newburgh, IN 47630-9366 2020-07-23
1366093940 Haley Ellis Counselor 2970 Kele St, Lihue, HI 96766-1823 2019-09-24
1972098820 Haley Ellis Internal Medicine One Barnes-jewish Hospital Plaza, St. Louis, MO 63110 2018-06-24
1225250285 Haley M Ellis Nurse Anesthetist, Certified Registered 310 Eisenhower Dr, Building 12 Suite B, Savannah, GA 31406-2632 2007-05-02

Office Location

Street Address 401 9TH AVE NW
City WATERTOWN
State SD
Zip Code 57201-1548

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669477287 Steven E Miller Internal Medicine 401 9th Ave Nw, Watertown, SD 57201-1548 2005-06-20
1871136549 Shelly Eileen Holida Speech-Language Pathologist 401 9th Ave Nw, Watertown, SD 57201-1599 2019-10-24
1366916645 Kari Ann Berg Registered Nurse 401 9th Ave Nw, Watertown, SD 57201-1548 2019-01-19
1194292987 Misty Dawn Blough Hildenbrand Dietitian, Registered 401 9th Ave Nw, Watertown, SD 57201-1548 2018-10-30
1548778897 Heidi Wirtjes Social Worker 401 9th Ave Nw, Watertown, SD 57201-1548 2018-01-19
1134637796 Amanda L Schaeffer Social Worker 401 9th Ave Nw, Watertown, SD 57201-1548 2018-01-17
1063920890 Sara Leigh Crawford Foust Social Worker 401 9th Ave Nw, Watertown, SD 57201-1548 2018-01-15
1972023083 Katelynn Elizabeth Bailey Emergency Medicine 401 9th Ave Nw, Watertown, SD 57201-1548 2017-06-21
1811431877 Megan Merkel Nurse Practitioner 401 9th Ave Nw, Watertown, SD 57201-1548 2016-12-10
1316493208 Sara Berreth Dietitian, Registered 401 9th Ave Nw, Watertown, SD 57201-1548 2016-08-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245878032 Samantha Kay Kratovil Dietitian, Registered 4 19th St Ne, Watertown, SD 57201 2019-12-12
1326516501 Edgewood Watertown Mc 2 LLC Assisted Living Facility 225 14 Ave Ne, Watertown, SD 57201 2018-11-06
1023503406 Rhonda Jean Cyre Occupational Therapy Assistant 613 B 1st Ave Se, Watertown, SD 57201 2018-06-27
1083160717 Joyce Anderson Psychologist 1124 Konrady Dr. Ne, Watertown, SD 57201 2016-09-01
1336584630 Jeffrey Alan Dorrity Otolaryngology 1201 Mickelson Dr, Watertown, SD 57201 2013-05-01
1427397389 Vickie Lynn Burchatz Occupational Therapy Assistant 415 Fourth Avenue Ne, Golden Living Center, Watertown, SD 57201 2013-02-12
1215292560 Eagle Vision Eyewear Supplier (Equipment, not the service) 906 1/2 9th Ave Se, Watertown, SD 57201 2012-07-11
1669777462 Eve Lynn Hensler Audiologist 405 18th Ave. Ne, Professional Hearing Services, Inc., Watertown, SD 57201 2011-01-26
1760792261 Maria Redmond Physical Therapist 810 South Maple, Watertown, SD 57201 2010-10-18
1194918995 Colette Wheeler Occupational Therapist 17330, 458th Ave, Watertown, SD 57201 2007-08-24
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043810013 Alexa L Carolan Nurse Practitioner 24 Penny Ln, Watertown, CT 06795-1734 2020-10-29
1104433820 Jennifer Blaze Laclair Nurse Practitioner 26561 State Route 3, Watertown, NY 13601-1749 2020-09-27
1144839549 Kristin Nicole Hill Nurse Practitioner 2813 Bell Rd, Watertown, TN 37184-4716 2020-07-31
1811505738 Ashley Swan Nurse Practitioner 1571 Washington St Ste 107, Watertown, NY 13601-9304 2020-07-16
1518591619 Kelly A Blanchette Nurse Practitioner 204 Arsenal St Apt 489, Watertown, MA 02472-3092 2020-02-27
1215586854 Ashley Rydquist Nurse Practitioner 926 N 4th St, Watertown, WI 53098-2915 2019-09-06
1184133738 Melissa Mcintyre Nurse Practitioner 70 Fieldwood Rd, Watertown, CT 06795-3023 2017-09-27
1346783669 Nagma Kc Nurse Practitioner 263 School St, Watertown, MA 02472-1412 2016-11-18
1477007730 Neangkanika Chea Nurse Practitioner 2 Repton Place, Apt 2204, Watertown, MA 02472 2016-08-04
1598122947 Charles Staples Jr. Nurse Practitioner 205 Sylvan Lake Rd, Watertown, CT 06779-1450 2016-01-15
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Competitor

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City WATERTOWN
Zip Code 57201

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Dataset Information

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.

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