Renee Ellison, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

186608 Issued in CA

Practice address

5901 E 7TH St
Long Beach, CA 90822-5201

Phone

(562) 826-8000

NPI assigned

Oct 3, 2006

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

• Mrs. Renee Ellison-Miller Other 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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154415990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5012 3/4 HAYTER AVE",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907123130",
            "telephone_number": "562-826-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 E 7TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908225201",
            "telephone_number": "562-826-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLISON",
        "first_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "186608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "ELLISON-MILLER",
            "prefix": "MRS.",
            "credential": "LVN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• James Ernest Elliott III
• Katelyn Elliott
• Lakita Elliott
• Mary Katherine Elliott, R.N.
• Jamie Ellis
• Rhonda Elane Ellison
• Caesar Elmi
• Mohamed Elnaggar, M.D.
• Eloquense Healthcare, Inc.
• Yolandie Els

• Licensed Vocational Nurse in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.