MRS. KELLY ELIZABETH ELLIS


Address: 6201 Roosevelt Rd, Berwyn, IL 60402-1108
Phone: 7083860845

MRS. KELLY ELIZABETH ELLIS (NPI# 1962705103) 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) 1962705103
Entity Type Individual
Full Name MRS. KELLY ELIZABETH ELLIS
Credential APN, CNM
Practice Address 6201 Roosevelt Rd
Berwyn
IL 60402-1108
Practice Telephone 7083860845
Practice Fax Number 7083868472
Mailing Telephone 7083860845
Mailing Fax Number 7083868472
Enumeration Date 2010-12-09
Last Update Date 2019-12-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367A00000X Advanced Practice Midwife 209008508 IL Physician Assistants & Advanced Practice Nursing Providers

Other Providers KELLY ELLIS

NPI Name Taxonomy Address Enumeration
1821615279 Kelly Ellis Nurse Practitioner 585 S Union St, Sparta, MI 49345-1505 2020-07-01
1194346759 Kelly Nicole Ellis Registered Nurse 13819 County Road 1131, Flint, TX 75762-2419 2020-05-05
1205455789 Kelly Wynell Ellis Physical Medicine & Rehabilitation 5502 San Juan Dr, Toledo, OH 43612-3336 2020-04-14
1306348834 Kelly Ellis Chore Provider 5033 Saint Annes Dr, Las Vegas, NV 89149-5717 2018-02-28
1104226109 Kelly Ellis Student in an Organized Health Care Education/Training Program 9621 Fontainebleau Blvd, 515, Miami, FL 33172-6814 2014-08-26
1992014971 Kelly Michelle Ellis Technician, Pathology 4230 Tree Moss Pl, Humble, TX 77346-4560 2010-09-24
1417189929 Kelly Pinney Ellis Counselor 404 Broadway St, Suite B, South Haven, MI 49090-1421 2009-08-17
1922233246 Kelly Abbott Ellis Physical Therapist 4953 Macaw Ct Ne, Marietta, GA 30066-1286 2009-05-17
1407941057 Kelly Leigh Ellis Family Medicine 301 N 27th St Ste 2, Norfolk, NE 68701-4457 2006-10-03
1073548186 Kelly Ann Ellis Social Worker 39760 Black Mesa Ln, Palm Desert, CA 92260 2006-07-11

Office Location

Street Address 6201 ROOSEVELT RD
City BERWYN
State IL
Zip Code 60402-1108

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932141637 Cecelia B Bacom Advanced Practice Midwife 6201 Roosevelt Rd, Berwyn, IL 60402-1108 2006-06-10
1659978179 Katherine Elizabeth Jaynes Nurse Practitioner 6201 Roosevelt Rd, Berwyn, IL 60402-1108 2020-10-07
1477190411 Simone Bonde Advanced Practice Midwife 6201 Roosevelt Rd, Berwyn, IL 60402-1108 2019-12-10
1396389342 Patricia Billingsley Registered Nurse 6201 Roosevelt Rd, Berwyn, IL 60402-1108 2019-11-03
1902336266 Lindsey K Kurdi Wood Family Medicine 6201 Roosevelt Rd, Berwyn, IL 60402-1108 2017-06-19
1255786430 Christine Elaine Schultheiss Family Medicine 6201 Roosevelt Rd, Berwyn, IL 60402-1108 2016-04-26
1003277500 Damaris Velazquez Social Worker 6201 Roosevelt Rd, Berwyn, IL 60402 2016-03-10
1750769352 Eliza Claire Miller Harper Advanced Practice Midwife 6201 Roosevelt Rd, Berwyn, IL 60402-1108 2015-05-14
1700275930 Edith Zamudio Social Worker 6201 Roosevelt Rd, Berwyn, IL 60402-1108 2015-01-12
1417350612 Jennifer Jaume Advanced Practice Midwife 6201 Roosevelt Rd, Berwyn, IL 60402-1108 2014-10-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619586518 Lisa K Anderson-shaw Clinical Ethicist Macneal Trinity Medical Cetner, 3249 Oak Park Avenue, Berwyn, IL 60402 2020-07-27
1922622380 Ayesha Ikram Internal Medicine Macneal Hospital 3249 S. Oak Park Ave, Brewyn, IL 60402 2020-06-02
1598329146 Eleanor Teoh Student in an Organized Health Care Education/Training Program Family Medicine, Macneal Family Medicine Center, 3231 Eucild Ave, 5th Floor, Berwyn, IL 60402 2019-04-30
1376013920 Virginia Mireles Behavior Technician 2317 S. Home, Berwyn, IL 60402 2018-11-27
1245709047 Saraswati Koirala Dentist 1227 S Harlem Ave Apt414, Berwyn, IL 60402 2018-11-21
1295204220 Dental Town Ltd Dentist 7106 W Cermak Rd, Berwyn, IL 60402 2018-11-20
1396231684 Toya M Gildart Counselor Pillars, 6415 Stanley Avenue, Berwyn, IL 60402 2018-07-10
1437655685 Ana Luisa Desantiago Social Worker 3245 Grove Ave Ste 201, Berwyn, IL 60402 2018-04-04
1821520198 Chetan Velagapudi Student in an Organized Health Care Education/Training Program 3231 S Euclid Avenue, Suite 203, Berwyn, IL 60402 2017-03-28
1174976567 Sydney Talavera Counselor 6415 Stanley Ave., Berwyn, IL 60402 2016-07-20
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Taxonomy Information

Taxonomy Code 367A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Advanced Practice Midwife

Taxonomy Definition

Midwifery practice as conducted by certified nurse-midwives (CNMs) and certified midwives (CMs) is the independent management of women's health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. The CNM and CM practice within a health care system that provides for consultation, collaborative management, or referral, as indicated by the health status of the client. CNMs and CMs practice in accord with the Standards for the Practice of Midwifery, as defined by the American College of Nurse-Midwives (ACNM).
Notes: Source: American College of Nurse-Midwives, 2008 [7/1/2008: title changed, defintion changed, source changed] Additional Resources: American College of Nurse-Midwives www.acnm.org. The American Midwifery Certification Board, Inc. [AMCB, formerly the ACNM Certification Council, Inc. (ACC)] opened its national certification exam to non-nurse graduates of midwifery education programs and issued the first certified midwife (CM) credential in 1997. Certified midwives are educated to meet the same high standards that certified nurse-midwives must meet. These are the standards that every state in the U.S. has recognized as the legal basis for nurse-midwifery practice. All education programs for CMs, like CNMs, award a post-baccalaureate certificate or higher degree. CMs take the same AMCB certification exam as CNMs and study side by side with nurse-midwifery students in some education programs. As an organization, ACNM supports efforts to legally recognize CMs as qualified midwifery practitioners granted the same rights and responsibilities as CNMs.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932141637 Cecelia B Bacom Advanced Practice Midwife 6201 Roosevelt Rd, Berwyn, IL 60402-1108 2006-06-10
1477190411 Simone Bonde Advanced Practice Midwife 6201 Roosevelt Rd, Berwyn, IL 60402-1108 2019-12-10
1750769352 Eliza Claire Miller Harper Advanced Practice Midwife 6201 Roosevelt Rd, Berwyn, IL 60402-1108 2015-05-14
1417350612 Jennifer Jaume Advanced Practice Midwife 6201 Roosevelt Rd, Berwyn, IL 60402-1108 2014-10-01
1053739813 Lakieta Edwards Advanced Practice Midwife 6201 Roosevelt Rd, Berwyn, IL 60402-1108 2014-03-30
1407288442 Katherine Malone Wehrmann Advanced Practice Midwife 6201 Roosevelt Rd, Berwyn, IL 60402-1108 2013-08-01
1215283197 Katherine E Herold Advanced Practice Midwife 6201 Roosevelt Rd, Berwyn, IL 60402-1108 2012-07-30
1265733349 Tera Martin Advanced Practice Midwife 6201 Roosevelt Rd, Berwyn, IL 60402-1108 2010-11-05
1376730366 Annette R Payot Advanced Practice Midwife 6201 Roosevelt Rd, Berwyn, IL 60402-1108 2007-10-03
1306962121 Danielle Kraessig Advanced Practice Midwife 6201 Roosevelt Rd, Berwyn, IL 60402-1108 2007-03-22
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City BERWYN
Zip Code 60402

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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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