Active NPI
Ellen Lehman Mumaw, WHNP
- Women's Health Nurse Practitioner
- Cordova, TN
National Provider Identifier
1043520141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- A03391 ANP
- Practice address
- 1660 Bonnie LN
Suite 105
Cordova, TN 38016-0518 - Phone
- (901) 888-1000
- NPI assigned
- Oct 7, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | APN0000015112 | TN | |
| Women's Health Nurse Practitioner | 363LW0102X | A03391 ANP | AR | Primary |
Addresses
Primary practice location
1660 Bonnie LN
Suite 105
Cordova, TN 38016-0518
Mailing address
635 Koser Dr
Marion, AR 72364-2671
Phone (901) 484-8648
Other names 1
- Ellen Blair Stroupe
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A03391 ANP | AR | MD | Women's Health Nurse Practitioner |
| APN0000015112 | TN | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701734400000",
"number": "1043520141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 KOSER DR",
"city": "MARION",
"state": "AR",
"postal_code": "723642671",
"telephone_number": "901-484-8648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1660 BONNIE LN",
"address_2": "SUITE 105",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380160518",
"telephone_number": "901-888-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUMAW",
"first_name": "ELLEN",
"middle_name": "LEHMAN",
"credential": "WHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-07",
"last_updated": "2023-12-05",
"certification_date": "2023-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "TN",
"license": "APN0000015112",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "AR",
"license": "A03391 ANP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELLEN",
"last_name": "STROUPE",
"middle_name": "BLAIR",
"credential": "WHNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cordova, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.