Joanna Ellis

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

RN00105402 Issued in WA

Legal business name

JOANNA ELLIS

Practice address

3333 N Whitman St
Tacoma, WA 98405-1547

Phone

(253) 759-3065

Fax

(253) 759-3075

NPI assigned

Jan 24, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kathy Ann Ostrander

Title

Office Manager

Phone

(253) 759-3065

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201132800000",
    "number": "1447437231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 N WHITMAN ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051547",
            "telephone_number": "253-759-3065",
            "fax_number": "253-759-3075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 N WHITMAN ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051547",
            "telephone_number": "253-759-3065",
            "fax_number": "253-759-3075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOANNA ELLIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2008-01-24",
        "status": "A",
        "authorized_official_last_name": "OSTRANDER",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "253-759-3065"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "WA",
            "license": "RN00105402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical-Surgical Registered Nurse in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Medical-Surgical Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; 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.