Ellen Dorsey, LC

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Practice address

106 Crestline Ave
Clarksdale, MS 38614-2300

Phone

(901) 356-0072

NPI assigned

Jul 9, 2024

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1306683115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 CRESTLINE AVE",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386142300",
            "telephone_number": "901-356-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 CRESTLINE AVE",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386142300",
            "telephone_number": "901-356-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORSEY",
        "first_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "LC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Janet Dillon
• Alvin Clayton Dixon
• Linda Dorsey
• Terry Dorsey, NP
• Alison Doyle, CNM
• Niya Simone Dunlap, BS
• Kimberly Michelle Dye

• Health & Wellness Coach in Clarksdale, MS
• Providers in Clarksdale, MS by specialty
• Health & Wellness Coach in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.