Michelle Ellerbe

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

238897-1 Issued in NY

Practice address

773 Pocatello Rd
Middletown, NY 10940-6668

Phone

(845) 551-0360

NPI assigned

Dec 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Michelle Bellotto Former name

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": "1196553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196553600000",
    "number": "1124200175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "773 POCATELLO RD",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109406668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "773 POCATELLO RD",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109406668",
            "telephone_number": "845-551-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLERBE",
        "first_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-02",
        "last_updated": "2007-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "238897-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "BELLOTTO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jermeen El-Zabet, DO
• Yasmine Hossam Elfarra, MD
• Evelyne Eliassaint
• Carmen E. Elizondo, LCSW-PSY.D
• Rebecca Ellefsen, LMSW
• Amanda Elliott, LMSW
• Lisa Baldini Elliott
• Dina Elnaggar, MD, MS
• Zainab Elsakka, PHYSICIAN ASSISTANT
• Leonard Demetrius Elzey, D,D.S

• Licensed Practical Nurse in Middletown, NY
• Providers in Middletown, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2007; 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.