Ellen Mary Layton, APRN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN9307092 Issued in FL

Practice address

Dr. Traci'S House
904 E Henry Ave
Tampa, FL 33604

Phone

(813) 510-5105

Fax

(727) 867-6795

NPI assigned

Jul 17, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mrs. Ellen Layton Mullarkey Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Optumcare Florida Ci, LLC

  • Primary Care Clinic/Center
  • Winter Park, FL
  • NPI 1720506603
  NPD (past)
• Traci Thompson MD, PA

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1043984875
  NPD (past)

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1164839643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W IDLEWILD AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33604",
            "telephone_number": "813-521-0958",
            "fax_number": "727-867-6795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DR. TRACI'S HOUSE",
            "address_2": "904 E HENRY AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33604",
            "telephone_number": "813-510-5105",
            "fax_number": "727-867-6795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAYTON",
        "first_name": "ELLEN",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-17",
        "last_updated": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9307092",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9307092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013390200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "MULLARKEY",
            "middle_name": "LAYTON",
            "prefix": "MRS.",
            "credential": "APRN, FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michelle Ann Laycox, LCSW
• William E. Layden, M.D.
• Ashley Layman
• Amanda Grace Layton, APRN
• Craig Arthur Layton Jr.
• George Manuel Layton, MD
• Pamela Caheisha Layton
• Steven E. Layton, P.A. - C
• Eduardo Layug, M.D.
• Christopher Lazar, OTR/L

• Family Nurse Practitioner in Tampa, FL
• Providers in Tampa, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.

Verify at the official NPI Registry.