Linda Jaye Ellis, ARNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

1514462 Issued in FL

Practice address

613 So. Myrtle Avenue
Clearwater, FL 33756

Phone

(727) 447-6458

Fax

(727) 461-5211

NPI assigned

Feb 8, 2010

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

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": "1265587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490140800000",
    "number": "1447582929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 SO. MYRTLE AVENUE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33756",
            "telephone_number": "727-447-6458",
            "fax_number": "727-461-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 SO. MYRTLE AVENUE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33756",
            "telephone_number": "727-447-6458",
            "fax_number": "727-461-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "LINDA",
        "middle_name": "JAYE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-08",
        "last_updated": "2017-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "1514462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Ellenberg, DMD
• Cynthia Lee Elliott, M.D.
• Emily R Elliott, PT
• Janie R Elliott, A.R.N.P.
• Jessica Rose Ellis, RN
• Rebecca Ellis, MSW
• Theodore Ellis, DC
• Tranetta Lenise Ellis, CRNA
• Lacie Taylor Ellithorpe, OTD
• Elocin Pfeiffhart Inc

• Pediatric Nurse Practitioner in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Pediatric Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.