Ellen Grace Callahan, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

2277495 Issued in MA

Practice address

180 Main St
Andover, MA 01810-4166

Phone

(978) 749-4460

NPI assigned

Jul 15, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ellen Grace Griffin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner

State licenses

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1184065443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 MAIN ST",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018104166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 MAIN ST",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018104166",
            "telephone_number": "978-749-4460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAHAN",
        "first_name": "ELLEN",
        "middle_name": "GRACE",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-15",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "2277495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "GRIFFIN",
            "middle_name": "GRACE",
            "credential": "PNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Vivian Jane Burton, RN
• Leah Cabeceiras, OT
• Nancy Cahan, PSY.D.
• Megan Lee Cahill, LICSW
• David Callaghan
• Richard A Campbell, CRNA
• Campromo Partners LLC
• Barbara O'Malley Cannon, PH.D., BCBA
• Bonnie L. Cannon, LICSW
• Kevin T Cannon, PH.D.

• Pediatric Nurse Practitioner in Andover, MA
• Providers in Andover, MA by specialty
• Pediatric Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; 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.