Individual provider Active NPI

Katherine Trulove Ellis

  • Advanced Practice Midwife
  • Easton, MD
National Provider Identifier
1194225631
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
R176261 Issued in MD
Practice address
401 Purdy St Ste 102
Easton, MD 21601-4060
Phone
(410) 820-0038
NPI assigned
Feb 20, 2018
Last updated
Oct 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180511000375 MD Practitioner - Certified Nurse Midwife (CNM) 7012271497 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
R176261MDMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Luminis Health Medical Group, LLC Current Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Apr 9, 2018 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Oct 24, 2022 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Oct 24, 2022 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Apr 9, 2018 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

  • Direct secure messaging: 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.

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

Sources for this page

Verify at the official NPI Registry.