MS. BETHANY ELLIS (NPI# 1649765108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649765108 |
| Entity Type | Individual |
| Full Name | MS. BETHANY ELLIS |
| Credential | LPN |
| Practice Address |
14 Franklin St Westfield NY 14787-1009 |
| Practice Telephone | 7162243521 |
| Mailing Telephone | 7162243521 |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2018-06-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 305866 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194349308 | Bethany Laquell Ellis | Nurse Practitioner | 210 S Federal Hwy Ste 300, Hollywood, FL 33020-6811 | 2020-06-03 |
| 1033425806 | Bethany Ann Ellis | Specialist | 5545 Highway 145, Shannon, MS 38868-9351 | 2010-08-31 |
| 1396925848 | Bethany Anne Ellis | Developmental Therapist | 100 Erdman Way, Leominster, MA 01453-1804 | 2007-11-13 |
| Street Address |
14 FRANKLIN ST |
| City | WESTFIELD |
| State | NY |
| Zip Code | 14787-1009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174093736 | Jacob Tyler Damcott | Physical Therapist | 189 East Main Street, Westfield, NY 14787 | 2018-11-27 |
| 1780033647 | Sherry Northrop | Licensed Practical Nurse | 7406 Light Rouad, Westfield, NY 14787 | 2016-06-10 |
| 1699026658 | Ryan Mayle | Physician Assistant | 138 East Main St., Westfield Family Physicians, Westfield, NY 14787 | 2012-09-30 |
| 1487833117 | Sarah Michelle Cook | Physician Assistant | 138 East Main St, Westfield, NY 14787 | 2007-10-30 |
| 1821219239 | Community Radiology, Pllc | Radiology | 185 E Main St, Westfield, NY 14787-1104 | 2007-05-01 |
| 1083698658 | Bradford W Buege | Emergency Medicine | 189 E Main St, Westfield, NY 14787-1104 | 2005-12-06 |
| 1356855100 | Westfield Memorial Hospital, Inc. | Clinic/Center | 189 E Main St, Westfield, NY 14787-1104 | 2017-11-30 |
| 1801167200 | Karin Seager Cockram | Occupational Therapist | 203 E Main St, Westfield, NY 14787-1104 | 2012-01-18 |
| 1962711853 | Amy Ruth Webb | Speech-Language Pathologist | 189 E Main St, Westfield, NY 14787-1104 | 2010-09-27 |
| 1568778629 | Charles Phillip Garriott | Emergency Medicine | 189 E Main St, Westfield, NY 14787-1104 | 2010-08-27 |
| Find all providers in zip 14787 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780033647 | Sherry Northrop | Licensed Practical Nurse | 7406 Light Rouad, Westfield, NY 14787 | 2016-06-10 |
| 1942671839 | Laura Anita Berneski | Licensed Practical Nurse | 7874 Prospect Station Rd, Westfield, NY 14787-9628 | 2015-10-17 |
| 1316313745 | Adam Cornell | Licensed Practical Nurse | 8701 Route 5, Westfield, NY 14787-9786 | 2015-08-20 |
| 1366886376 | Jennifer Quaglini | Licensed Practical Nurse | 112 City View Rd, Westfield, MA 01085-4120 | 2013-04-21 |
| 1689033607 | Leslie Keltz | Licensed Practical Nurse | 14902 Shelborne Rd, Westfield, IN 46074-9668 | 2016-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780503 | Michael Lee Hendryx | Licensed Practical Nurse | 803 Bell St, Olean, NY 14760-3005 | 2020-11-06 |
| 1720689664 | Chynna S Brown | Licensed Practical Nurse | 483 Newbury St, Rochester, NY 14615-3209 | 2020-11-06 |
| 1588265433 | Deanna Lucas | Licensed Practical Nurse | 206 Prospect Pl, Bay Shore, NY 11706-1537 | 2020-11-06 |
| 1659972511 | Katiesianna Marie Kovalsky | Licensed Practical Nurse | 718 Griswold Hts, Troy, NY 12180-5168 | 2020-11-05 |
| 1538760608 | Shanequa Marshall | Licensed Practical Nurse | 100 Park Ave Apt 1, Amityville, NY 11701-3165 | 2020-11-05 |
| 1780285007 | Jarleyn Severino | Licensed Practical Nurse | 10 Waterview Pl, Lynbrook, NY 11563-1921 | 2020-11-03 |
| 1023619590 | Lisa A Loomis | Licensed Practical Nurse | 2198 Us Highway 20, Nassau, NY 12123-1733 | 2020-11-02 |
| 1235739061 | Kathleen Zalamea | Licensed Practical Nurse | 37 Howells Rd, Bay Shore, NY 11706-6502 | 2020-10-30 |
| 1649870494 | Khairat Salami | Licensed Practical Nurse | 1538 Washington Ave Apt 1, Bronx, NY 10457-8334 | 2020-10-30 |
| 1518567437 | Catherine Grullon | Licensed Practical Nurse | 32 Crescent Ave, Newburgh, NY 12550-3134 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
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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.