Active NPI
Danielle Louise Ellis
- Nurse's Aide
- Gillespie, IL
National Provider Identifier
1437810025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- Practice address
- 704 E Walnut St
Gillespie, IL 62033-1562 - Phone
- (618) 795-3617
- NPI assigned
- Jan 5, 2022
- Last updated
- Jan 5, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | IL | Primary |
Addresses
Primary practice location
704 E Walnut St
Gillespie, IL 62033-1562
Mailing address
704 E Walnut St
Gillespie, IL 62033-1562
Phone (618) 795-3617
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641340800000",
"number": "1437810025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "704 E WALNUT ST",
"city": "GILLESPIE",
"state": "IL",
"postal_code": "620331562",
"telephone_number": "618-795-3617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "704 E WALNUT ST",
"city": "GILLESPIE",
"state": "IL",
"postal_code": "620331562",
"telephone_number": "618-795-3617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIS",
"first_name": "DANIELLE",
"middle_name": "LOUISE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-05",
"last_updated": "2022-01-05",
"certification_date": "2022-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gillespie, IL
- Sandra L Cania
- Carlinville Area Hospital Association
- Carlinville Area Hospital Association (Gillespie Family Practice Center)
- Ashley Elizabeth Dicks, PHARM.D
- Melinda S Edwards, PMHNP
- Jesica Nicole Feldman, OTA/L
- Gillespie Cusd 7
- Gillespie Health and Rehab Center LLC
- Gillespie Health and Rehab Center LLC
- Gillespie-Benld Area Ambulance Service, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.