Ellen Tim, NP

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

68269 Issued in NC

Practice address

5324 McFarland Rd
Durham, NC 27707-6865

Phone

(919) 687-4688

NPI assigned

Oct 25, 2006

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270598400000",
    "number": "1457435323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5213 S ALSTON AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277134430",
            "telephone_number": "919-620-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5324 MCFARLAND RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076865",
            "telephone_number": "919-687-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIM",
        "first_name": "ELLEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2010-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "NC",
            "license": "68269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Tighe de Soto, MD
• Robert Matthew Tighe, M.D.
• Geanda Tilley
• Rachael Kathryn Tilley
• Frank Tillman III, PHARMD
• Lisa Hatch Timberlake, LCSWA
• Tina Young LCSW PLLC
• Virginia Fay Tindley
• Sherwin Charng-Shiow Ting, M.D.
• Qionna Mariel Tinney, M.D.

• Obstetrics & Gynecology Nurse Practitioner in Durham, NC
• Providers in Durham, NC by specialty
• Obstetrics & Gynecology Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; 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.