Active NPI
Karen West-Ellis, APRN
- Pediatric Nurse Practitioner
- Layton, UT
National Provider Identifier
1144200171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 197691-4405
- Practice address
- 2084 N 1700 W
Suite a
Layton, UT 84041 - Phone
- (801) 773-8644
- Fax
- (801) 773-9828
- NPI assigned
- Jan 17, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 197691-4405 | UT | Primary |
Addresses
Primary practice location
2084 N 1700 W
Suite a
Layton, UT 84041
Mailing address
2086 N 1700 W
Suite C
Layton, UT 84041
Phone (801) 773-8644
Other names 1
- Karen Ellis
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 |
|---|---|---|---|
| 197691-4405 | UT | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Families First Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Kaysville, UT
- NPI 1669424099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354233600000",
"number": "1144200171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2086 N 1700 W",
"address_2": "SUITE C",
"city": "LAYTON",
"state": "UT",
"postal_code": "84041",
"telephone_number": "801-773-8644",
"fax_number": "801-927-1591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2084 N 1700 W",
"address_2": "SUITE A",
"city": "LAYTON",
"state": "UT",
"postal_code": "84041",
"telephone_number": "801-773-8644",
"fax_number": "801-773-9828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEST-ELLIS",
"first_name": "KAREN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-17",
"last_updated": "2012-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "UT",
"license": "197691-4405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAREN",
"last_name": "ELLIS",
"credential": "APRN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Layton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.