Active NPI
Patti A Ellison
- Nurse Practitioner
- Milford, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN.CNP.04386
- Practice address
- 25 Whitney Dr Ste 122
Milford, OH 45150-8400 - Phone
- (513) 941-4999
- Fax
- (513) 694-0168
- NPI assigned
- Jun 8, 2006
- Last updated
- Nov 12, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN.CNP.04386 | OH | Primary |
| Registered Nurse | 163W00000X | RN.166532 | OH |
Addresses
Primary practice location
25 Whitney Dr Ste 122
Milford, OH 45150-8400
Mailing address
6460 Harrison Ave Ste 200
Cincinnati, OH 45247-7958
Phone (513) 941-4999
Other practice location 1
6460 Harrison Ave Ste 200
Cincinnati, OH 45247-7958
Phone (513) 941-4999
Other practice location 2
680 Northland Blvd
Cincinnati, OH 45240-3248
Phone (513) 941-4999
Other practice location 3
160 N Breiel Blvd
Middletown, OH 45042-3806
Phone (513) 941-4999
Other practice location 4
100 Highview Blvd
Columbus, OH 43207-6023
Phone (513) 941-4999
Other practice location 5
1421 Parker Ct
Springfield, OH 45504-2855
Phone (513) 941-4999
Other practice location 6
1130 Garbry Rd
Piqua, OH 45356-8217
Phone (513) 941-4999
Other practice location 7
247 Cic Blvd
West Union, OH 45693-7512
Phone (513) 941-4999
Other practice location 8
1907 11th St
Portsmouth, OH 45662-4531
Phone (513) 941-4999
Other practice location 9
1435 Cincinnati St
Dayton, OH 45417-4614
Phone (513) 941-4999
Other practice location 10
1718 Central Pkwy
Cincinnati, OH 45214-2355
Phone (513) 941-4999
Other practice location 11
7075 Industrial Rd Ste A
Florence, KY 41042-3053
Phone (513) 941-4999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2200577 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.166532 | OH | MD | Registered Nurse |
| APRN.CNP.04386 | OH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunrise Treatment Center, LLC | Current | Accepting new patients | |
| Sunrise Treatment Center, LLC | Current | Accepting new patients | |
| Sunrise Treatment Center, LLC | Current | Accepting new patients |
Locations
7075 Industrial Rd
Ste A
Florence, KY 41042
Phone 51394149991071
1718 Central Pkwy
Cincinnati, OH 45214
Phone (513) 467-2825
6460 Harrison Ave
Cincinnati, OH 45247
Phone (513) 619-6885
6460 Harrison Ave
Ste 200
Cincinnati, OH 45247
Phone (513) 467-2825
680 Northland Blvd
Cincinnati, OH 45240
Phone (513) 959-5344
100 Highview Blvd
Columbus, OH 43207
Phone (614) 492-0414
1435 Cincinnati St
Dayton, OH 45417
Phone (937) 449-0800
160 N Breiel Blvd
Middletown, OH 45042
Phone (513) 467-2825
25 Whitney Dr
Ste 122
Milford, OH 45150
Phone (513) 713-7241
1130 Garbry Rd
Piqua, OH 45356
1907 11th St
Portsmouth, OH 45662
Phone (740) 529-7356
1421 Parker Ct
Springfield, OH 45504
Phone (513) 467-2825
247 Cic Blvd
West Union, OH 45693
Phone (937) 660-3400
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Sunrise Treatment Center - OTR
- Substance Use Disorder Rehabilitation Clinic/Center
- Cincinnati, OH
- NPI 1205435369
-
- Substance Use Disorder Rehabilitation Clinic/Center
- West Union, OH
- NPI 1215659412
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Cincinnati, OH
- NPI 1992043053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731369600000",
"number": "1144260035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6460 HARRISON AVE STE 200",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452477958",
"telephone_number": "513-941-4999",
"fax_number": "513-694-0168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 WHITNEY DR STE 122",
"city": "MILFORD",
"state": "OH",
"postal_code": "451508400",
"telephone_number": "513-941-4999",
"fax_number": "513-694-0168"
}
],
"practiceLocations": [
{
"address_1": "6460 Harrison Ave Ste 200",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452477958",
"country_code": "US",
"telephone_number": "513-941-4999",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "680 Northland Blvd",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452403248",
"country_code": "US",
"telephone_number": "513-941-4999",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "160 N Breiel Blvd",
"address_purpose": "LOCATION",
"city": "Middletown",
"state": "OH",
"postal_code": "450423806",
"country_code": "US",
"telephone_number": "513-941-4999",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Highview Blvd",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432076023",
"country_code": "US",
"telephone_number": "513-941-4999",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1421 Parker Ct",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "OH",
"postal_code": "455042855",
"country_code": "US",
"telephone_number": "513-941-4999",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1130 Garbry Rd",
"address_purpose": "LOCATION",
"city": "Piqua",
"state": "OH",
"postal_code": "453568217",
"country_code": "US",
"telephone_number": "513-941-4999",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "247 Cic Blvd",
"address_purpose": "LOCATION",
"city": "West Union",
"state": "OH",
"postal_code": "456937512",
"country_code": "US",
"telephone_number": "513-941-4999",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1907 11th St",
"address_purpose": "LOCATION",
"city": "Portsmouth",
"state": "OH",
"postal_code": "456624531",
"country_code": "US",
"telephone_number": "513-941-4999",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1435 Cincinnati St",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454174614",
"country_code": "US",
"telephone_number": "513-941-4999",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1718 Central Pkwy",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452142355",
"country_code": "US",
"telephone_number": "513-941-4999",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7075 Industrial Rd Ste A",
"address_purpose": "LOCATION",
"city": "Florence",
"state": "KY",
"postal_code": "410423053",
"country_code": "US",
"telephone_number": "513-941-4999",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELLISON",
"first_name": "PATTI",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-08",
"last_updated": "2024-11-12",
"certification_date": "2024-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "APRN.CNP.04386",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN.166532",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2200577",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milford, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.