Individual provider Active NPI

Ellen Ashley McNally, D.C.

  • Chiropractor
  • Providence, RI
National Provider Identifier
1174661607
Registry record updated Jun 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DCP00554 Issued in RI
Practice address
189 Governor St Ste 101
Providence, RI 02906-3124
Phone
(401) 396-2010
Fax
(401) 396-2010
NPI assigned
Feb 5, 2007
Last updated
Jun 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 011352 NY
Chiropractor 111N00000X 3151 MA
Chiropractor 111N00000X DCP00554 RI Primary

Addresses

Primary practice location

189 Governor St Ste 101
Providence, RI 02906-3124

Mailing address

189 Governor St Ste 101
Providence, RI 02906-3124
Phone (401) 396-2010

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

State licenses

LicenseStateTypeSpecialty
3151MAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pvdchiro LLC Current Accepting new patients
Zola Chiropractic Center Inc Chiropractor CurrentSince Jan 10, 2013 Accepting new patients

Locations

144 Waterman St
Ste 2
Providence, RI 02906
Phone (401) 396-2010

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.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592438400000",
    "number": "1174661607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 GOVERNOR ST STE 101",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029063124",
            "telephone_number": "401-396-2010",
            "fax_number": "401-466-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 GOVERNOR ST STE 101",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029063124",
            "telephone_number": "401-396-2010",
            "fax_number": "401-396-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNALLY",
        "first_name": "ELLEN",
        "middle_name": "ASHLEY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "011352",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3151",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "RI",
            "license": "DCP00554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; 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.