Kathleen Mary Ellenberger, RN, BSN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

RN265951L Issued in PA

Practice address

100 Hospital Ave
Du Bois, PA 15801-1440

Phone

(814) 375-7751

NPI assigned

Jul 31, 2019

Sex

Female

Sole proprietor

Yes

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

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1295389831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8672 COAL HILL RD",
            "city": "LUTHERSBURG",
            "state": "PA",
            "postal_code": "158484914",
            "telephone_number": "814-591-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL AVE",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011440",
            "telephone_number": "814-375-7751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLENBERGER",
        "first_name": "KATHLEEN",
        "middle_name": "MARY",
        "credential": "RN, BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-31",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "PA",
            "license": "RN265951L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Edwards, PA-C
• Michael James Edwards, CRNA
• Marlena Ehrensberger
• Jennifer S Eirich
• Hazem F Elkassas, MD
• Jamie Lynn Ellinger, B. A.
• Kelsey Elliott, PA
• Emily Emerson, OD
• Rex D Evans, PA-C
• Sarah Evans, CRNP

• Community Health Registered Nurse in Du Bois, PA
• Providers in Du Bois, PA by specialty
• Community Health Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.