Elizabeth Caroline Ellison-Brown, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

3008204 Issued in KY

Practice address

13111 Eastpoint Park Blvd
Louisville, KY 40223-4164

Phone

(502) 430-1200

NPI assigned

Aug 7, 2013

Last updated

Jan 25, 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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Seven Counties Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Louisville, KY
  • NPI 1598793671

  Nurse Practitioner

  Medicare reassignment NPD
• Old Mission Wound Care Kentucky PLLC

  • Specialist
  • Traverse City, MI
  • NPI 1598504961

  KY

  Medicare reassignment NPD
• University of Louisville Research Foundation

  dba U of L Family Medicine at Newburg

  • Family Medicine Physician
  • Louisville, KY
  • NPI 1851357735
  NPD (past)

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1407288871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402010909",
            "telephone_number": "502-895-8970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13111 EASTPOINT PARK BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234164",
            "telephone_number": "502-430-1200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 S Preston St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021716",
            "country_code": "US",
            "telephone_number": "502-589-8600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLISON-BROWN",
        "first_name": "ELIZABETH",
        "middle_name": "CAROLINE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-07",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3008204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100301660",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgan Ellis
• Porsha Ellis
• Robert Ellsworth Ellis, M.D.
• Rudy John Ellis Jr., MD
• Shanna Ellis, RN
• Amanda Rebecca Ellison, DPT
• Kaitlyn L Ellison, RBT
• Shannon Nicole Ellison
• Stacy Brian Ellison, D.M.D.
• Katelin H Elm, APRN

• Nurse Practitioner in Louisville, KY
• Providers in Louisville, KY by specialty
• Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.