Katlyn Alexander Ellyson, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN61059962 Issued in WA

Practice address

1601 E 4TH Plain Blvd
Vancouver, WA 98661-3713

Phone

(360) 397-8246

NPI assigned

May 24, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1590278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590278400000",
    "number": "1407479561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11803 NE 124TH AVE APT 38",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986822095",
            "telephone_number": "360-450-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E 4TH PLAIN BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986613713",
            "telephone_number": "360-397-8246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLYSON",
        "first_name": "KATLYN",
        "middle_name": "ALEXANDER",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-24",
        "last_updated": "2020-05-24",
        "certification_date": "2020-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN61059962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Ellis
• Sophia Elizabeth Ellis, PA-C
• Stacy Lynn Ellis, PSYD
• Josie Beth Ells
• Stephanie Dawn Ellsworth
• Samantha Jean Elmore, CPHT
• Sarah E Elrashidi
• Lisa Marie Elsasser, MSW
• Rhonda Lee Elston, M.A., LMHC
• Camilla E Elven, M.D.

• Registered Nurse in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2020; 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.