Sundie Wright Ellis, APRN, BC, FNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

667088 Issued in TX

Practice address

10717 Lipan TRL
Fort Worth, TX 76108-6924

Phone

(817) 244-1592

NPI assigned

Jun 2, 2005

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GCCBBA

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.

• AIDS Resources of Rural Texas

  dba Arrt

  • Nurse Practitioner
  • Weatherford, TX
  • NPI 1346315207
  NPD (past)
• AIDS Resources of Rural Texas

  dba ARRT Health & Wellness Clinic

  • Primary Care Nurse Practitioner
  • Abilene, TX
  • NPI 1932103991
  NPD (past)
• Tarrant County Infectious Disease Associates

  • Infectious Disease Physician
  • Fort Worth, TX
  • NPI 1225358708
  NPD (past)
• Texas Centers for Infectious Disease Associates PA

  • Infectious Disease Physician
  • Fort Worth, TX
  • NPI 1750332441
  NPD (past)

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

{
    "created_epoch": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245232297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10717 LIPAN TRL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761086924",
            "telephone_number": "817-244-1592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10717 LIPAN TRL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761086924",
            "telephone_number": "817-244-1592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "SUNDIE",
        "middle_name": "WRIGHT",
        "name_prefix": "Ms.",
        "credential": "APRN, BC, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "667088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Sean Ellis, DDS
• Jeremy Ellis, D.C.
• Kelley D Ellis, RNFA, CNOR
• Lorenzo Paul Ellis
• Renee Ann Ellis, M.D.
• Thomas S Ellis, M.D.
• Danielle Elizabeth Ellison
• Kiyana Ellison, DO
• Abigail Ellstrom, MPH
• Elm Anesthesia Management, LLC

• Primary Care Nurse Practitioner in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Primary Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.