Natasha L Ellison

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

CN0019210548 Issued in GA

Practice address

503 W 48TH St
Savannah, GA 31405-1967

Phone

(912) 707-1710

NPI assigned

Oct 15, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1114569845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 W 48TH ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314051967",
            "telephone_number": "912-707-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 W 48TH ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314051967",
            "telephone_number": "912-707-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLISON",
        "first_name": "NATASHA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-15",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "GA",
            "license": "CN0019210548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHCARE PROVIDER",
            "identifier": "81-2778923",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Bolling Ellis, D.O.
• Stephanie Rachel Ellis, PHARM.D.
• Stephanie Rene Ellis, RBT
• Gregory Taylor Ellison Jr., M.D.
• Nancy Halligan Ellison, PA
• Natalie Rene Elmgren
• Carisa Elmore, CPNP-AC
• Glenda Laine Eloge, NP
• Jason Alexander Elrod, PHARMD
• Megan Nicole Elrod

• All providers in Savannah, GA
• Nurse's Aide in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; 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.