Meredith Ellmore, MSN CRNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

R235357 Issued in MD

Practice address

9 Woodward CT
Annapolis, MD 21403-1531

Phone

(410) 507-2258

NPI assigned

Oct 2, 2024

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

Master of Science - Nursing

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: meredith.ellmore.1@7466.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/7466/brand/1/csg/1/fhir/r4

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.

• Arundel Pediatrics, PA

  • Pediatrics Physician
  • Arnold, MD
  • NPI 1265400113
  NPD (past)

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1295553832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 WOODWARD CT",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214031531",
            "telephone_number": "410-507-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 WOODWARD CT",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214031531",
            "telephone_number": "410-507-2258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLMORE",
        "first_name": "MEREDITH",
        "name_prefix": "Ms.",
        "credential": "MSN CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "R235357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Willow Elliot, RBT
• Christina Tran Elliott
• Natalie Elliott
• Ross D Elliott
• Ronald Fred Ellis
• Salwa Elsamanoudi, M.D.
• Elyse Provencher LLC
• Susan Krause Emerson, CPNP
• Encompass Physical Therapy, LLC
• Sven Ingo Ender, MD

• Pediatric Nurse Practitioner in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Pediatric Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.