ELLEN TIM (NPI# 1457435323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457435323 |
| Entity Type | Individual |
| Full Name | ELLEN TIM |
| Credential | NP |
| Practice Address |
5324 Mcfarland Rd Durham NC 27707-6865 |
| Mailing Address |
5213 S Alston Ave Durham NC 27713-4430 |
| Practice Telephone | 9196874688 |
| Mailing Telephone | 9196205041 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2010-04-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
68269 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5324 MCFARLAND RD |
| City | DURHAM |
| State | NC |
| Zip Code | 27707-6865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174562102 | Diana Borton Mcshane | Dermatology | 5324 Mcfarland Rd, Suite 410, Durham, NC 27707-6865 | 2006-06-05 |
| 1316392764 | Amanda Birkhead | Dietitian, Registered | 5324 Mcfarland Rd, Ste 150, Durham, NC 27707-6865 | 2016-05-03 |
| 1679927255 | Gregory Schiltz | Dietitian, Registered | 5324 Mcfarland Rd, Durham, NC 27707-6865 | 2016-04-20 |
| 1871973396 | Durham Lifestyle Management LLC | Dietitian, Registered | 5324 Mcfarland Rd, Ste 150, Durham, NC 27707-6865 | 2015-06-01 |
| 1942695200 | Ashton Jackson | Dietitian, Registered | 5324 Mcfarland Rd, Suite 150, Durham, NC 27707-6865 | 2015-04-03 |
| 1811385875 | Sarah Ray Healy | Dietitian, Registered | 5324 Mcfarland Rd, #150, Durham, NC 27707-6865 | 2014-12-29 |
| 1568887487 | Jessica R Iselin | Dietitian, Registered | 5324 Mcfarland Rd, Suite 150, Durham, NC 27707-6865 | 2014-02-28 |
| 1134540768 | Deborah Franciscy | Dietitian, Registered | 5324 Mcfarland Rd, Suite 150, Durham, NC 27707-6865 | 2013-12-27 |
| 1831520188 | Tyrone Hall | Dietitian, Registered | 5324 Mcfarland Rd, Suite 150, Durham, NC 27707-6865 | 2013-12-11 |
| 1548691975 | Ashley Karshen | Dietitian, Registered | 5324 Mcfarland Rd, Durham, NC 27707-6865 | 2013-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785928 | Ceara Smith | Social Worker | 1415 W Nc 54 Buidling 200, Suite 111, Durham, NC 27707 | 2020-06-22 |
| 1114554094 | Lauren Michelle Grosse | Physician Assistant | Fastmed Urgent Care 7010 Nc-751, Durham, NC 27707 | 2020-03-23 |
| 1386289635 | Ashley Bailey | Counselor | 1801 Fayetteville Street, Durham, NC 27707 | 2019-11-11 |
| 1881249886 | Erin Ramona Leger | Physical Therapist | 3706 Mayfair St, Ste 120, Durham, NC 27707 | 2019-08-06 |
| 1417417262 | Carmen Elisabeth Sanchez | Psychologist | 3326 Durham Chapel Hill Blvd Bldg D, Durham, NC 27707 | 2019-03-20 |
| 1477026144 | Pope Behavioral Health and Wellness | Counselor | 5102 Chapel Hill Durham Blvd., Suite 101, Durham, NC 27707 | 2019-01-06 |
| 1043780778 | Jessica Ann Revels | Counselor | 1415 West North Carolina 54, Building 100 Suite # 204, Durham, NC 27707 | 2018-11-26 |
| 1558830125 | Michael Brown | Counselor | 1502 W Nc-54, Suite 505, Durham, NC 27707 | 2018-11-13 |
| 1780152827 | Cassandra Gerwig Shaw | Registered Nurse | 5324 Mcfarland Dr Ste 310, Durham, NC 27707 | 2018-11-07 |
| 1942776232 | Lisa J Keskitalo | Physical Therapist | 3708 Mayfair St Ste 120, Durham, NC 27707 | 2018-10-15 |
| Find all providers in zip 27707 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396053534 | Lindsay Penn Scruggs | Nurse Practitioner | 2609 N Duke St Ste 204, Durham, NC 27704-5936 | 2010-09-22 |
| 1265502090 | Alice Cooper | Nurse Practitioner | 2100 Erwin Rd, Durham, NC 27710-0001 | 2006-11-09 |
| 1306920285 | Beth Wrenn | Nurse Practitioner | 2609 N Duke St, Suite 204, Durham, NC 27704-3048 | 2006-10-25 |
| 1629151865 | Deborah Underwood Brown | Nurse Practitioner | 40 Duke Medicine Cir, Durham, NC 27710-4000 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386856649 | Victoria L Kell | Nurse Practitioner | 247 Memorial Dr, Jacksonville, NC 28546-6333 | 2007-05-07 |
| 1376610022 | Deborah Shamberger Barrett | Nurse Practitioner | 705 Pinehurst Ave, Moore County Health Department, Carthage, NC 28327-0279 | 2006-11-29 |
| 1922106426 | Wanda A Fuschino | Nurse Practitioner | 349 Penny Ln Ne, Concord, NC 28025-1221 | 2006-09-20 |
| 1699879239 | Bertha Lee Hendrix | Nurse Practitioner | 227 Fountainhead Ln, Fayetteville, NC 28301-5417 | 2006-09-12 |
| 1679508253 | Angela M Walling | Nurse Practitioner | 3 Regional Cir Ste B, Pinehurst, NC 28374-9796 | 2006-07-11 |
| 1467415752 | Paula Thum | Nurse Practitioner | 1998 Hendersonville Rd, Suite 31, Asheville, NC 28803-2349 | 2006-04-08 |
| 1932169612 | Mary Coffey Blalock | Nurse Practitioner | 177 New Vale Rd, Office of E.h. Perez, Md, Newland, NC 28657-9198 | 2006-03-25 |
| 1336144518 | Victoria Edwards Smith | Nurse Practitioner | 25 Courthouse Dr. Ne, Box 9, Bolivia, NC 28422-7582 | 2005-06-15 |
| 1790788024 | Donna White Bass | Nurse Practitioner | 4005 Oleander Dr, Wilmington, NC 28403-6816 | 2005-05-31 |
| 1003431404 | Rhonda Mann Lovvorn | Nurse Practitioner | 700 Tilghman Dr, Dunn, NC 28334-0007 | 2020-06-11 |
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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.