Carla Ellis

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

52579 Issued in NC

Practice address

117 W Medical CT
Marion, NC 28752-5590

Phone

(828) 659-3966

Fax

(828) 659-6304

NPI assigned

Feb 13, 2013

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

Other names 1

• Carla Dee Hendley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1360713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360713600000",
    "number": "1366781288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 CLANTON RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282171309",
            "telephone_number": "704-332-9001",
            "fax_number": "704-714-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 W MEDICAL CT",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287525590",
            "telephone_number": "828-659-3966",
            "fax_number": "828-659-6304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "CARLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-13",
        "last_updated": "2013-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NC",
            "license": "52579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLA",
            "last_name": "HENDLEY",
            "middle_name": "DEE",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Crystal Kay Edwards
• Elevate Behavioral Health LLC
• Brooke Ann Elliott
• Rebekah Clark Elliott, PA-C
• Ross Elliott
• George Ellis, M.D.
• Emergeortho, P.a.
• Empower Speech PLLC
• Enabld, LLC
• Amy Smith Ende, M.D.

• Licensed Practical Nurse in Marion, NC
• Providers in Marion, NC by specialty
• Licensed Practical Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; 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.