Toni Klatt-Ellis, CNS

Primary specialty

Oncology Clinical Nurse SpecialistTaxonomy code 364SX0200X

License

70000010A Issued in IN

Practice address

600 East Blvd
Elkhart, IN 46514-2483

Phone

(574) 523-3112

Fax

(574) 523-7885

NPI assigned

Jun 16, 2005

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 identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

State licenses

Practice roles

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.

• Michiana Hematology Oncology of Michigan, P.C.

  • Hematology & Oncology Physician
  • Niles, MI
  • NPI 1235134461
  NPD (past)

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321833600000",
    "number": "1356346233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660376",
            "address_2": "ELKHART GENERAL HOSPITAL INSURANCE PAYMENTS",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462660376",
            "telephone_number": "574-523-3148",
            "fax_number": "574-523-3492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 EAST BLVD",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465142483",
            "telephone_number": "574-523-3112",
            "fax_number": "574-523-7885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLATT-ELLIS",
        "first_name": "TONI",
        "credential": "CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-16",
        "last_updated": "2011-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SX0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Oncology",
            "state": "IN",
            "license": "70000010A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200258130A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000725198",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Henry Kirori
• Miriam Kirori
• Emily Marie Kisor, M.D.
• Lacy Kissell
• Heather Kistka, MD
• Bethany Grace Knaus, PHARMD
• Kevin Knaus, PHARMD, RPH
• Ernest Larry Knight, M.D.
• Hannah Rose Knouse, DPT
• Samuel Dominic Kobba, N.P.

• Oncology Clinical Nurse Specialist in Elkhart, IN
• Providers in Elkhart, IN by specialty
• Oncology Clinical Nurse Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; 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.