Active NPI
Deborah a Ellison Aprn LLC
- Nurse Practitioner
- Manchester, CT
National Provider Identifier
1265892665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- DEBORAH A ELLISON APRN LLC
- Practice address
- 901 Main St
@Axis901
Manchester, CT 06040-6008 - Phone
- (860) 634-5342
- NPI assigned
- Feb 26, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deborah Ellison
- Title
- Aprn
- Phone
- (860) 368-9213
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
901 Main St
@Axis901
Manchester, CT 06040-6008
Mailing address
901 Main St
@Axis901
Manchester, CT 06040-6008
National Provider Directory
National Provider DirectoryLocations
901 Main St
#901
Manchester, CT 06040
Phone (860) 634-5342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456444800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1456444800000",
"number": "1265892665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 MAIN ST",
"address_2": "@AXIS901",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060406008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 MAIN ST",
"address_2": "@AXIS901",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060406008",
"telephone_number": "860-634-5342"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEBORAH A ELLISON APRN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-26",
"last_updated": "2016-02-26",
"status": "A",
"authorized_official_last_name": "ELLISON",
"authorized_official_first_name": "DEBORAH",
"authorized_official_title_or_position": "APRN",
"authorized_official_telephone_number": "860-368-9213"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.