Laurin Ellis

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

9114 Merrick Blvd
Jamaica, NY 11432-5363

Phone

(718) 408-7178

NPI assigned

Oct 8, 2019

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)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Catholic Charities Brooklyn and Queens

  • Mental Health Counselor
  • Jamaica, NY
  • NPI 1235000175
  NPD

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

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1265074504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9114 MERRICK BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114325363",
            "telephone_number": "718-408-7178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9114 MERRICK BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114325363",
            "telephone_number": "718-408-7178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "LAURIN",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-08",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elite Scripts Inc.
• Rose Laure Elizier
• Gilad Ellenberg, MD
• Elliot Engelhardt O.T., P.C.
• Jorgonne Marie Ellis
• Nathifa Ann Ellis, LPN
• Keiona Ellison, OTR/L
• Sierra Ellison
• Lisa Elmore
• Marina Elnatanova

• Case Manager/Care Coordinator in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Case Manager/Care Coordinator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.