Active NPI
Katherine Trulove Ellis
- Advanced Practice Midwife
- Easton, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- R176261
- Practice address
- 401 Purdy St Ste 102
Easton, MD 21601-4060 - Phone
- (410) 820-0038
- NPI assigned
- Feb 20, 2018
- Last updated
- Oct 25, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | R176261 | MD | Primary |
| Midwife | 176B00000X | R176261 | MD |
Addresses
Primary practice location
401 Purdy St Ste 102
Easton, MD 21601-4060
Mailing address
602 Windmill Rd
Easton, MD 21601-2523
Phone (443) 454-3719
Other practice location 1
219 S Washington St
Easton, MD 21601-2913
Phone (410) 822-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
713 Cambridge Marketplace Blvd
Suite 2 700
Cambridge, MD 21613-2563
Phone (410) 820-4888
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R176261 | MD | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| University of Maryland Community Medical Group, Inc. | Current | Accepting new patients | |
| University of Maryland Community Medical Group, Inc. | Current | Accepting new patients | |
| Luminis Health Medical Group, LLC | Current | Accepting new patients |
Locations
713 Cambridge Marketplace Blvd
Ste 2700
Cambridge, MD 21613
Phone (410) 820-4888
2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432
1630 Main St
Ste 213
Chester, MD 21619
Phone (443) 481-5300
219 S Washington St
Easton, MD 21601
401 Purdy St
Ste 102
Easton, MD 21601
Phone (410) 505-8948
301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565
7556 Teague Rd
Ste 430
Hanover, MD 21076
Phone (410) 553-8260
920 Elkridge Landing Rd
Fl 4
Linthicum Heights, MD 21090
Phone (443) 462-5010
Interoperability endpoints
- kellis79196@direct.umm.edu
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Baltimore, MD
- NPI 1477530624
-
dba Luminis Health Maternal and Fetal Medicine
- Maternal & Fetal Medicine Physician
- Annapolis, MD
- NPI 1073580205
-
dba Anne Arundel Medical Group - Neurology Specialists
- Neurology Physician
- Chester, MD
- NPI 1073902888
-
dba LH Primary Care North Hanson
- Internal Medicine Physician
- Bowie, MD
- NPI 1720835010
-
- Psychiatry Physician
- La Plata, MD
- NPI 1679393854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666656000000",
"number": "1194225631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 WINDMILL RD",
"city": "EASTON",
"state": "MD",
"postal_code": "216012523",
"telephone_number": "443-454-3719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 PURDY ST STE 102",
"city": "EASTON",
"state": "MD",
"postal_code": "216014060",
"telephone_number": "410-820-0038"
}
],
"practiceLocations": [
{
"address_1": "219 S Washington St",
"address_purpose": "LOCATION",
"city": "Easton",
"state": "MD",
"postal_code": "216012913",
"country_code": "US",
"telephone_number": "410-822-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELLIS",
"first_name": "KATHERINE",
"middle_name": "TRULOVE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-20",
"last_updated": "2022-10-25",
"certification_date": "2022-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "MD",
"license": "R176261",
"primary": true
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "MD",
"license": "R176261",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Easton, MD
- Cornelius Edwards, LCADC
- Robin Leigh Edwards, DPT
- Ludwig Eglseder, M.D.
- Melissa Lynn Eigenbrode, CRNP
- Esther Elizabeth Elliott, MD
- Sarah Elizabeth Ellis
- Emergency Medicine Associates, PA
- Empower and Restore, LLC (Empower and Restore Speech and Swallowing Therapy)
- Amy Engler, PA
- Fayette Marsh Engstrom, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.