Active NPI
Cheri G Ellison, R. D. H.
- Dental Hygienist
- Citronelle, AL
National Provider Identifier
1275775199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 5121
- Practice address
- 7052 Patrick Rd
Citronelle, AL 36522-5145 - Phone
- (251) 610-2455
- NPI assigned
- Mar 25, 2009
- Last updated
- Mar 25, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 5121 | AL | Primary |
Addresses
Primary practice location
7052 Patrick Rd
Citronelle, AL 36522-5145
Mailing address
7052 Patrick Rd
Citronelle, AL 36522
Phone (251) 610-2455
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MAY2762 | Other | AL | NPI |
Other names 1
- Mrs. Cheryl G Ellison
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5121 | AL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237939200000",
"number": "1275775199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7052 PATRICK RD",
"city": "CITRONELLE",
"state": "AL",
"postal_code": "36522",
"telephone_number": "251-610-2455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7052 PATRICK RD",
"city": "CITRONELLE",
"state": "AL",
"postal_code": "365225145",
"telephone_number": "251-610-2455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLISON",
"first_name": "CHERI",
"middle_name": "G",
"name_prefix": "Mrs.",
"credential": "R. D. H.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-25",
"last_updated": "2009-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "AL",
"license": "5121",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "MAY2762",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHERYL",
"last_name": "ELLISON",
"middle_name": "G",
"prefix": "MRS.",
"credential": "R. D. H.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Citronelle, AL
- Citronelle Drug Co Inc
- Hannah L Corley, PHARMD
- Crowne Health Care of Citronelle, LLC
- Charles Seth Davis, CRNP
- Delta Health Group Inc (Citronelle Convalescent Center)
- Encore Rehabilitation, Inc. (Encore Rehab of Citronelle)
- Freds Stores of Tennessee Inc (Freds Pharmacy 1259)
- Michael Clay Garver, DMD
- Gmuc of Citronelle LLC
- Hearts of Harmony Homecare LLC (hearts of harmony)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.