Ellen S Hardin, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

0001262029 Issued in VA

Practice address

1212 E State Route 72 Ste 8
Rolla, MO 65401-3984

Phone

(573) 308-3400

NPI assigned

Dec 8, 2023

Last updated

Feb 21, 2024By the provider in NPPES

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

Other names 1

• Ellen Hissong Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Supported Living and Employment Services, Inc.

  dba Firefly

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Springfield, MO
  • NPI 1386022101
  NPD
• Preferred Family Healthcare

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Rolla, MO
  • NPI 1497133243
  NPD (past)

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

{
    "created_epoch": "1701993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1336916337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 OLD SOUTH RIVER RD",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633034120",
            "telephone_number": "636-224-1210",
            "fax_number": "636-246-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 E STATE ROUTE 72 STE 8",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654013984",
            "telephone_number": "573-308-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDIN",
        "first_name": "ELLEN",
        "middle_name": "S",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-08",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001262029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "HISSONG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hand Therapy of Central Missouri LLC
• Colleen Marie Handle, PTA
• Hanger Prosthetics & Orthotics East Inc (Hanger Clinic)
• Eugene Hansbrough, MD
• Wesley Calvin Harden, MD
• Savannah Harness, LPC
• Tamara Lee Harper, RN
• Ashley Dawn Harris
• Karen S Harris, RN
• Steven Dale Harrison, DDS, MS, PC

• Registered Nurse in Rolla, MO
• Providers in Rolla, MO by specialty
• Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.