Ellene Carruth, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

2922561 Issued in NY

Practice address

75 Maiden LN
7TH Floor
New York, NY 10038-4810

Phone

(212) 477-3600

NPI assigned

Jul 10, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1278720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278720000000",
    "number": "1164734828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8620 208TH ST",
            "address_2": "APT 2E",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114271682",
            "telephone_number": "718-464-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 MAIDEN LN",
            "address_2": "7TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384810",
            "telephone_number": "212-477-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRUTH",
        "first_name": "ELLENE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-10",
        "last_updated": "2010-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "2922561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Carroll, LCSW
• William Carroll, M.D.
• Zarayia Carroll
• Cathy Anne Carron, MD
• Lydia Treat Carron, RD
• Katherine Carsky, MD, MS
• Karen Lynn Carsley, LCSW-R
• Bradford E Carson, MD
• Bruce Barry Carson
• Gregory D Carson, LCSW

• Registered Nurse in New York, NY
• Providers in New York, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2010; 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.