Organization Active NPI

Deborah a Ellison Aprn LLC

  • Nurse Practitioner
  • Manchester, CT
National Provider Identifier
1265892665
Registry record updated Feb 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
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

Updated by the provider on Feb 26, 2016

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)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.