Active NPI
Ellen E Gorrell, CNS
- Adult Health Clinical Nurse Specialist
- Akron, OH
National Provider Identifier
1154690287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Clinical Nurse Specialist
- License
- COA.12679-NS
- Practice address
- 75 Arch St
Ste 407
Akron, OH 44304-1429 - Phone
- (330) 384-9001
- Fax
- (330) 384-9002
- NPI assigned
- Dec 19, 2011
- 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 |
|---|---|---|---|---|
| Adult Health Clinical Nurse Specialist | 364SA2200X | COA.12679-NS | OH | Primary |
Addresses
Primary practice location
75 Arch St
Ste 407
Akron, OH 44304-1429
Mailing address
168 E Market St
PO Box 3542
Akron, OH 44308-2038
Phone (330) 996-0347
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)
- Enrolled
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA.12679-NS | OH | MD | Adult Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384992000000",
"number": "1154690287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "168 E MARKET ST",
"address_2": "PO BOX 3542",
"city": "AKRON",
"state": "OH",
"postal_code": "443082038",
"telephone_number": "330-996-0347",
"fax_number": "330-996-0359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 ARCH ST",
"address_2": "STE 407",
"city": "AKRON",
"state": "OH",
"postal_code": "443041429",
"telephone_number": "330-384-9001",
"fax_number": "330-384-9002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORRELL",
"first_name": "ELLEN",
"middle_name": "E",
"credential": "CNS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-19",
"last_updated": "2013-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "364SA2200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Adult Health",
"state": "OH",
"license": "COA.12679-NS",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.