CATHERINE NICOLE ELLIS (NPI# 1487056974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487056974 |
| Entity Type | Individual |
| Full Name | CATHERINE NICOLE ELLIS |
| Credential | APRN |
| Practice Address |
103 Landmark Dr Bellevue KY 41073-1393 |
| Mailing Address |
1401 Madison Ave Covington KY 41011-3313 |
| Practice Telephone | 8596556100 |
| Practice Fax Number | 8596556186 |
| Mailing Telephone | 8596556100 |
| Mailing Fax Number | 8596556148 |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2016-07-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3008943 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
16513 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100321330 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376963058 | Catherine Ellis | Registered Nurse | 1099 Cassel Avenue, Bay Shore, NY 11706 | 2014-04-22 |
| 1376821967 | Catherine Lee Ellis | Social Worker | 629 Elsmere Park, Lexington, KY 40508-1405 | 2011-07-29 |
| 1972744324 | Catherine Cambia Ellis | Specialist/Technologist | 217 Stewart Stadium, Murray, KY 42071-3351 | 2009-03-16 |
| 1508353640 | Catherine Elizabeth Ellis | Student in an Organized Health Care Education/Training Program | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2018-04-14 |
| 1659720829 | Catherine Ellis | Anesthesiologist Assistant | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2016-06-08 |
| 1548473150 | Catherine Jonnakuty Ellis | Internal Medicine | 500 University Dr, H088, Hershey, PA 17033-2360 | 2007-05-08 |
| 1457485765 | Catherine L Ellis | Counselor | 1921 Ransom Pl, Nashville, TN 37217-3841 | 2007-03-16 |
| 1043242340 | Catherine E Ellis | Psychologist | 2001 Hudson Ave, Kalamazoo, MI 49008-1889 | 2006-07-07 |
| Street Address |
103 LANDMARK DR |
| City | BELLEVUE |
| State | KY |
| Zip Code | 41073-1393 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669471058 | Carol Roark | Pediatrics | 103 Landmark Dr, Ll2, Bellevue, KY 41073-1393 | 2005-07-18 |
| 1033756689 | Alicia J Obringer | Dietitian, Registered | 103 Landmark Dr, Bellevue, KY 41073-1393 | 2019-12-03 |
| 1215468947 | Allyson Lilburn | Social Worker | 103 Landmark Dr, Bellevue, KY 41073-1393 | 2017-03-24 |
| 1912440280 | Christy Renee Bowling | Nurse Practitioner | 103 Landmark Dr, Bellevue, KY 41073-1393 | 2016-11-18 |
| 1861854648 | Amy N Reusch | Nurse Practitioner | 103 Landmark Dr, Bellevue, KY 41073-1393 | 2016-03-22 |
| 1659711851 | Olivia Mae Faulkner Estes | Dentist | 103 Landmark Dr, Bellevue, KY 41073 | 2013-07-02 |
| 1124468707 | Michelle Watters | Pharmacist | 103 Landmark Dr, Bellevue, KY 41073-1393 | 2013-06-27 |
| 1043657489 | Harold T. Pretorius, M.d. | Internal Medicine | 103 Landmark Dr, Suite 365, Bellevue, KY 41073-1393 | 2013-05-24 |
| 1083974737 | Dawn Marie Mbomyo | Social Worker | 103 Landmark Dr, Suite 380, Bellevue, KY 41073-1393 | 2012-05-29 |
| 1114229192 | Joy Ann Cunningham | Pharmacist | 103 Landmark Dr, Ste 103, Bellevue, KY 41073-1393 | 2010-11-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467618462 | Violet Marie Lichtenstein | Registered Nurse | 103 Landmark Drive, Bellevue La Health Care, Bellevue, KY 41073 | 2008-07-30 |
| 1033314554 | Healing Tables Ltd Co | Contractor | 405 Fairfield Ave, Bellevue, KY 41073 | 2007-06-15 |
| 1548391428 | Dana Porterfield | Physical Therapist | 103 Landmark Dr Lower Level, Patient First Pt, Bellevue, KY 41073 | 2007-03-09 |
| 1760527105 | Melissa Rose Sandoval | Social Worker | 103 Landmark Drive Ste 300, Department of Veteran's Affairs, Bellevue, KY 41073 | 2007-02-21 |
| 1619900784 | Mary D Huhn | Social Worker | 227 Fairfield Ave, 2nd Floor, Bellevue, KY 41073 | 2006-07-09 |
| 1972169746 | Christopher James Kersting | Nurse Practitioner | 53 Donnermeyer Dr, Bellevue, KY 41073 | 2019-05-16 |
| 1740627124 | Jeffery Braden Blankenship | Family Medicine | 119 Fairfield Ave, Suite R102, Bellevue, KY 41073 | 2013-05-27 |
| 1437404431 | Jennifer Amy Adams | Family Medicine | 119 Fairfield Ave, Suite R102, Bellevue, KY 41073 | 2012-07-17 |
| 1861439937 | Michael Grainger | Family Medicine | 119 Fairfield Ave, Suite R102, Bellevue, KY 41073 | 2006-05-31 |
| 1497792584 | Jeremy D Engel | Family Medicine | 119 Fairfield Ave, Suite R102, Bellevue, KY 41073 | 2006-05-31 |
| Find all providers in zip 41073 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618750 | Sarah A Kampfer | Nurse Practitioner | 123 Gardner St, Bellevue, OH 44811-1811 | 2020-08-06 |
| 1386293660 | Kathryn Anderson | Nurse Practitioner | 14808 S 24th St, Bellevue, NE 68123-2003 | 2019-09-09 |
| 1265098610 | Yuzuo Zhang | Nurse Practitioner | 1020 108th Ave Ne Ste 19, Bellevue, WA 98004-4315 | 2019-05-11 |
| 1457819260 | Kathryn Kalmes | Nurse Practitioner | 15710 Ne 24th St Ste A, Bellevue, WA 98008-2444 | 2019-03-11 |
| 1487129243 | Pamela Sue Dorothea Cramer | Nurse Practitioner | 1265 W Main St Ste A, Bellevue, OH 44811-9055 | 2018-10-09 |
| 1841782257 | Kimberly Greene | Nurse Practitioner | 15600 Ne 8th St Ste A4, Bellevue, WA 98008-3917 | 2018-05-31 |
| 1588199053 | Hannah Ng | Nurse Practitioner | 1310 116th Ave Ne Ste A, Bellevue, WA 98004-3817 | 2017-04-21 |
| 1700325883 | Michelle Renae Peterson | Nurse Practitioner | 2529 Madison St, Bellevue, NE 68005-5366 | 2017-02-22 |
| 1740724988 | Amanda Spears | Nurse Practitioner | 413 Brinker St, Bellevue, OH 44811-1508 | 2016-12-07 |
| 1164976205 | Tatyana Melnik | Nurse Practitioner | 10610 Ne 9th Pl Unit 1900, Bellevue, WA 98004-8647 | 2016-08-06 |
| Find all providers in BELLEVUE | ||||
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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.