MR. JOHN KENNY ELLISON (NPI# 1730398546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730398546 |
Entity Type | Individual |
Full Name | MR. JOHN KENNY ELLISON |
Credential | RN |
Practice Address |
12516 Crestline Ave Ne Albuquerque NM 87112-3616 |
Practice Telephone | 5053239170 |
Mailing Telephone | 5053239170 |
Enumeration Date | 2007-05-21 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WE0003X |
Registered Nurse Specialization: Emergency |
R21266 | NM | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609128065 | John Gerald Ellison | Dentist | 1658 Washington Ave, Vincennes, IN 47591-4842 | 2012-10-10 |
1376713586 | John Ellison | Optometrist | 5421 S 1900 W, Roy, UT 84067-2908 | 2008-03-04 |
1528414984 | John Ellison | Family Medicine | 400 N Jefferson St, Lewisburg, WV 24901-1177 | 2016-05-04 |
1245672286 | John Michael Ellison | Nurse Practitioner | 18750 Se Stark St, Portland, OR 97233-5330 | 2013-07-18 |
1093845943 | John Masou Ellison | Emergency Medicine | 23625 Wr Holman Highway, Monterey, CA 93940 | 2007-03-07 |
1669427118 | John R. Ellison | Family Medicine | 1051 4th Ave, Gallipolis, OH 45631-1612 | 2006-05-23 |
Street Address |
12516 CRESTLINE AVE NE |
City | ALBUQUERQUE |
State | NM |
Zip Code | 87112-3616 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356999411 | Lynn Eileen Riley | Counselor | 10205 Stovall Pl Ne, Albuquerque, NM 87112 | 2019-08-30 |
1548818222 | Cindy D Montoya | Technician | 11405 Snow Heights Blvd Ne, Albuquerque, NM 87112 | 2019-08-27 |
1194387449 | Karen Sue Stockham | Counselor | 9024 Aspen Ave Ne, Albuquerque, NM 87112 | 2019-07-07 |
1316416837 | New Beginning Counseling Services Inc | Counselor | 2617 Juan Tabo Blvd Ne Unit A/d, Albuquerque, NM 87112 | 2018-11-14 |
1306365929 | Calyx Institute LLC | Social Worker | 10701 Lomas Blvd Ne, Ste. 101, Albuquerque, NM 87112 | 2017-09-14 |
1811411135 | Annette Romero | Case Manager/Care Coordinator | 9741 Candelaria, Albuquerque, NM 87112 | 2017-07-28 |
1851814784 | Ally Renee Funkhouser Dye | Pediatrics | 2130 Eubank Blvd Ne, Albuquerque, NM 87112 | 2017-07-23 |
1508303140 | Makena Bailey Nash | Behavior Technician | 12801 Indian School Ne Apt 508, Albuquerque, NM 87112 | 2017-01-20 |
1477978906 | Albert R Toya | Massage Therapist | 2601 Wyoming Blvd N.e. Room 115-c, Albuquerque, NM 87112 | 2014-02-20 |
1184918104 | Jennifer E Chavez | Counselor | 1505 Marron Circle Ne, Albuquerque, NM 87112 | 2011-06-07 |
Find all providers in zip 87112 |
Taxonomy Code | 163WE0003X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Emergency |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336608504 | Southwestern Provider Services LLC | Registered Nurse | 6400 Paseo Del Norte, Albuquerque, NM 87113 | 2019-03-18 |
1801333760 | Kathryn Delgado | Registered Nurse | 8236 Petros Ave Nw, Albuquerque, NM 87120-3796 | 2017-01-30 |
1982050795 | Shawna Johnston | Registered Nurse | 7712 Calle Paraiso Ne, Albuquerque, NM 87113-1273 | 2016-05-11 |
1295068708 | Sandra Marie Cook | Registered Nurse | 6215 Goldfield Pl Ne, Albuquerque, NM 87111-8208 | 2009-09-15 |
1043283138 | Lena Hirst | Registered Nurse | 1513 Wells Dr Ne, Albuquerque, NM 87112-6384 | 2006-02-09 |
1932430501 | Anita Velasco | Registered Nurse | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2745 | 2010-01-21 |
1437368750 | Shannon Adell Downing | Registered Nurse | 8300 Constitution Ave Ne, Albuquerque, NM 87110-7613 | 2007-05-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720689136 | Garrett Vanderwater | Registered Nurse | 1808 W Aztec Ave, Gallup, NM 87301-6780 | 2020-11-03 |
1972128494 | Thomas Vansant | Registered Nurse | 114 Talla Quaw Trl, Capitan, NM 88316-5034 | 2020-06-10 |
1467010371 | Pansy A Wilbourn | Registered Nurse | 904 S Strong Dr, Gallup, NM 87301-5965 | 2019-06-05 |
1497285001 | Jessica Kate Savant | Registered Nurse | 516 E Nazhoni Blvd, Gallup, NM 87301 | 2017-06-15 |
1770013385 | Nicole Aline Pavy | Registered Nurse | 516 E. Nizhioni Blvd, Gallup, NM 87301 | 2017-06-15 |
1407216088 | Dolores T Gonzales | Registered Nurse | 516 East Nizhoni, Gallup, NM 87301-6934 | 2016-02-25 |
1659972073 | Carla B Patterson | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2020-11-03 |
1114528791 | Paula Denise Fields | Registered Nurse | 3465 Mcnutt Rd, Sunland Park, NM 88063-9056 | 2020-11-02 |
1164022414 | Margaret Krick | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2020-10-27 |
1306445473 | Stacey Leigh Cortez | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2020-10-20 |
Find all providers with the same taxonomy |
City | ALBUQUERQUE |
Zip Code | 87112 |
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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.