Ellen Lynne Fortes, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

44095 Issued in MA

Practice address

175 Crescent Ave
Chelsea, MA 02150-3009

Phone

(617) 889-8779

NPI assigned

Aug 19, 2024

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Community Health Care, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Westfield, MA
  • NPI 1912980251

  Licensed Practical Nurse

  NPD (past)
• Community Physicians PC

  • Methadone Clinic
  • Portland, ME
  • NPI 1316242209
  NPD (past)

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1124850003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 CRESCENT AVE",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "021503009",
            "telephone_number": "617-889-8779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 CRESCENT AVE",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "021503009",
            "telephone_number": "617-889-8779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTES",
        "first_name": "ELLEN",
        "middle_name": "LYNNE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MA",
            "license": "44095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jocelyn Flores
• Lucia Flores, LMSW
• Nidia Rebeca Flores
• Jarelis Mary Fonseca
• Colleen Michelle Ford, M.D.
• Buteau Francois
• Dishruand Francois
• Angelica Frascolla, RN
• Mercedes Freije Ibanez, MD
• Laura Alicia Turner Frew, LGPC

• Licensed Practical Nurse in Chelsea, MA
• Providers in Chelsea, MA by specialty
• Licensed Practical Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.