Erica Elain Ellis, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5004577 Issued in NC

Practice address

1350 SE Maynard Rd
Cary, NC 27511-3634

Phone

(919) 651-0820

NPI assigned

Feb 9, 2010

Last updated

Feb 9, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15480/brand/1/csg/1/fhir/r4

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1265673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265673600000",
    "number": "1063744423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 LONE STAR WAY",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275198775",
            "telephone_number": "919-672-8803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 SE MAYNARD RD",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275113634",
            "telephone_number": "919-651-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "ERICA",
        "middle_name": "ELAIN",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-09",
        "last_updated": "2010-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5004577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destiny Paige Elliott
• Jasmine Elliott, LCMHCA
• Michelle Elliott, D.C.
• Robert D. Elliott, DMD, MS
• Christina Marie Ellis, COTA
• Jamie Marie Ellis, MSN, RN, WHNP-BC
• Jenine M Ellis, RDMS
• Kendall Craig Ellis, OT
• Rochelle Keener Ellis
• Suzanna Genele Ellison, DPT

• Family Nurse Practitioner in Cary, NC
• Providers in Cary, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.