KARRIE L ELLIS


Address: 1680 Albany Ave, Hartford, CT 06105
Phone: 8602364511

KARRIE L ELLIS (NPI# 1487690418) 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) 1487690418
Entity Type Individual
Full Name KARRIE L ELLIS
Credential APRN
Practice Address 1680 Albany Ave
Hartford
CT 06105
Mailing Address 1680 Albany Ave
Hartford
CT 06105-1001
Practice Telephone 8602364511
Practice Fax Number 8602318449
Mailing Telephone 8602364511
Mailing Fax Number 8602318449
Enumeration Date 2006-06-20
Last Update Date 2012-02-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 001155 CT Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CIGNA 2111440 01

Office Location

Street Address 1680 ALBANY AVE
City HARTFORD
State CT
Zip Code 06105

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407476070 Natalie Mohown Registered Nurse 1680 Albany Ave, Hartford, CT 06105-1001 2020-04-23
1215566963 Tenisha Astwood Registered Nurse 1680 Albany Ave, Hartford, CT 06105-1001 2020-04-05
1851929046 Faundala Weymon Registered Nurse 1680 Albany Ave, Hartford, CT 06105-1001 2020-04-01
1801420401 Ishona D Caputo Marriage & Family Therapist 1680 Albany Ave, Hartford, CT 06105-1001 2020-02-24
1366074296 Dana L Baker Registered Nurse 1680 Albany Ave, Hartford, CT 06105-1001 2020-02-09
1235760216 Jeanne Brown-williams Registered Nurse 1680 Albany Ave, Hartford, CT 06105-1001 2020-01-29
1871139410 De'dre'ona Henry Registered Nurse 1680 Albany Ave, Hartford, CT 06105-1001 2019-11-19
1093358863 Nashaly Alamo Counselor 1680 Albany Ave, Hartford, CT 06105-1001 2019-10-23
1154972123 Michelle Rumery Social Worker 1680 Albany Ave, Hartford, CT 06105-1001 2019-09-21
1811547433 Elizabeth Connolly Registered Nurse 1680 Albany Ave, Hartford, CT 06105-1001 2019-09-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275155939 Pruthwy R Addanki Student in an Organized Health Care Education/Training Program Saint Francis Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 2020-05-15
1700447802 Samuel Flynn Student in an Organized Health Care Education/Training Program 1000 Asylum Avenue, Suite 3200, Hartford, CT 06105 2019-06-28
1730743568 Turab J Mohammed Student in an Organized Health Care Education/Training Program Saint Francis Hospital Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 2019-04-26
1164900387 Breanne Ferrara Social Worker 43 Wooland St, Hartford, CT 06105 2018-07-31
1154814069 Signature Smiles of Hartford LLC Dentist 550 Farmington Avenue, Suite B, Hartford, CT 06105 2018-06-14
1356839062 Jaimy Villavicencio Student in an Organized Health Care Education/Training Program 100 Asylum Avenue, Suite 1004, Hartford, CT 06105 2018-04-27
1750885679 Brittany Bird Student in an Organized Health Care Education/Training Program 839-841 Asylum Avenue, Hartford, CT 06105 2018-03-23
1972032241 Ashley Nicole Mills Student in an Organized Health Care Education/Training Program 896 Asylum Ave, 3rd Floor, Hartford, CT 06105 2017-06-08
1528506847 Samuel Agyei Social Worker 291 Collins St, Hartford, CT 06105 2017-02-07
1841735818 Katie Strahowski Nurse Practitioner 85 Gillett Street, Clean Slate, Hartford, CT 06105 2016-12-30
Find all providers in zip 06105

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275168478 Laverne Sharisse Watts Nurse Practitioner 37 Alden St Apt L, Hartford, CT 06114-1018 2020-03-08
1285164111 Sarah Elaine Yiznitsky Nurse Practitioner 2550 Main St Ste 205, Hartford, CT 06120-1936 2017-06-13
1285083139 Debra Knisbeck Nurse Practitioner 626 Foxtail Dr, Hartford, WI 53027-2743 2016-06-10
1821327958 Susan Chmael Nurse Practitioner Gray Cancer Ctr, 85 Retreat Ave, Hartford, CT 06160-0001 2009-12-21
1861726291 Anne N Ntate Nurse Practitioner 410 Capitol Ave, Hartford, CT 06106-1367 2009-10-02
1669649588 Elizabeth H Anderson Nurse Practitioner 67 Brownell Ave, Hartford, CT 06106-3302 2008-05-09
1417135195 Ling Li Nurse Practitioner 3580 Main Street, Hartford, CT 06120 2008-02-05
1558429944 Jean B Stielau Nurse Practitioner 85 Seymour St Ste 409, Hartford, CT 06106-5523 2006-12-05
1750315610 Marie D'onofrio Nurse Practitioner 450 Columbus Blvd, Hartford, CT 06103-1801 2006-07-10
1083220362 Laurie Jean Deciantis Nurse Practitioner 114 Woodland Ave, Hartford, CT 06105 2020-09-22
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Competitor

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City HARTFORD
Zip Code 06105

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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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