ELLEN DEBORA WILLIS (NPI# 1922558923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922558923 |
| Entity Type | Individual |
| Full Name | ELLEN DEBORA WILLIS |
| Practice Address |
30-32 N Main St Carbondale PA 18407-2304 |
| Practice Telephone | 5702821732 |
| Mailing Telephone | 5702821732 |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2016-10-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | RN144902L | PA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447891684 | Ellen Willis | Counselor | 200 Route 108, Somersworth, NH 03878-1119 | 2019-09-30 |
| 1467427997 | Ellen D Willis | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2006-02-20 |
| Street Address |
30-32 N MAIN ST |
| City | CARBONDALE |
| State | PA |
| Zip Code | 18407-2304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093706780 | Marie A Williams | Nurse Practitioner | 30-32 N Main St, Carbondale, PA 18407-2304 | 2005-11-02 |
| 1730660655 | Rachael A Van Tassel | Counselor | 30-32 N Main St, Carbondale, PA 18407-2304 | 2018-08-28 |
| 1598213167 | Janine Posdon | Licensed Practical Nurse | 30-32 N Main St, Carbondale, PA 18407-2304 | 2016-09-13 |
| 1104277524 | Evan James Maclusky | Counselor | 30-32 N Main St, Carbondale, PA 18407-2304 | 2016-06-27 |
| 1285085910 | Jodi Stearns | Counselor | 30-32 N Main St, Carbondale, PA 18407-2304 | 2016-06-23 |
| 1952796740 | Michelle Stchur | Social Worker | 30-32 N Main St, Carbondale, PA 18407-2304 | 2015-03-30 |
| 1629462775 | Johnna Fratarcangelo | Social Worker | 30-32 N Main St, Carbondale, PA 18407-2304 | 2015-03-26 |
| 1902156466 | William Daniel Mcandrew | Social Worker | 30-32 N Main St, Carbondale, PA 18407-2304 | 2012-09-12 |
| 1952633489 | Danielle Dionne Sholcosky | Social Worker | 30-32 N Main St, Carbondale, PA 18407-2304 | 2010-02-09 |
| 1720296858 | Eugene Leslie Jennings | Psychiatry & Neurology | 30-32 N Main St, Carbondale, PA 18407-2304 | 2007-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235761784 | Ashley Ettinger | Counselor | 38 North Scott Road, Carbondale, PA 18407 | 2020-02-12 |
| 1639723109 | Dana Marie Marmo | Counselor | 141 Salem Ave Suite 104, Carbondale, PA 18407 | 2019-08-01 |
| 1831694991 | William Vitzakovitch | Physical Therapist | 504 1/2 Scranton Carbondale Hwy, Mayfield, PA 18407 | 2018-03-29 |
| 1205345014 | The Young Men's Christian Association of Carbondale | Health Educator | 82 N Main Street, Carbondale, PA 18407 | 2017-09-25 |
| 1942722327 | Jamee Ruddy | Early Intervention Provider Agency | 77 Jefferson Street, Simpson, PA 18407 | 2017-07-07 |
| 1417181082 | Paul Erik Larson | Specialist/Technologist | 101 Brooklyn Street/business Route 6, Carbondale, PA 18407 | 2009-05-11 |
| 1316061708 | Christine Marie Roberts | Occupational Therapist | Carbondale Nursing Home, 10 Hart Place, Carbondale, PA 18407 | 2007-03-19 |
| 1407944036 | Brian John Piatak | Chiropractor | 30 N Scott Street, Carbondale, PA 18407 | 2006-10-10 |
| 1427556133 | Brianna Marie Bennici | Occupational Therapy Assistant | 45 N Scott St, Carbondale, PA 18407 | 2018-01-28 |
| 1144632332 | Dannielle S Hafler | Social Worker | 32 N Main St, Carbondale, PA 18407 | 2014-05-22 |
| Find all providers in zip 18407 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and 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 |
|---|---|---|---|---|
| 1366984031 | Melany Mulligan | Registered Nurse | 341 Hummingbird Ln, Carbondale, IL 62902-7722 | 2016-11-13 |
| 1427228428 | Mark Evans | Registered Nurse | 198 Upper Powderly St, Carbondale, PA 18407-2777 | 2008-03-05 |
| 1073599767 | Erhime T Badejo | Registered Nurse | 305 W Jackson St Ste 200, Carbondale Family Medicine, Carbondale, IL 62901-1474 | 2005-12-15 |
| 1114563368 | Jamie Hultgren | Registered Nurse | 1237 E Main St Ste C1, Carbondale, IL 62901-3148 | 2019-11-22 |
| 1548815293 | Jessica N Baine | Registered Nurse | 404 S Lewis Ln, Carbondale, IL 62901 | 2019-08-08 |
| 1609344308 | Allison Lence | Registered Nurse | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2018-11-12 |
| 1700362183 | John Grady Johnston Jr. | Registered Nurse | 405 W Jackson St, Carbondale, IL 62901 | 2018-07-18 |
| 1124538475 | Ryan Nankervis | Registered Nurse | 405 W Jackson Street, Dba Sih Medical Group Anesthesiology, Carbondale, IL 62901-1462 | 2017-10-01 |
| 1497295901 | Wallace Adam Goforth | Registered Nurse | 405 W Jackson St, Carbondale, IL 62901-1462 | 2017-03-02 |
| 1740656438 | Jennifer Clevenger | Registered Nurse | 35 Albany Rd, Suite C, Carbondale, IL 62903-7646 | 2015-08-17 |
| Find all providers in CARBONDALE | ||||
| City | CARBONDALE |
| Zip Code | 18407 |
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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.