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).
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 |
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 |
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 |
Street Address |
401 9TH AVE NW |
City | WATERTOWN |
State | SD |
Zip Code | 57201-1548 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 57201 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
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 |
Find all providers in WATERTOWN |
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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.