Ellen Thompson

Individual provider Active NPI Registered Nurse · New Waterford, OH

NPI 1487576716 · NPPES record last updated Jul 28, 2026

Key facts

NPI
1487576716
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
398456 (OH)
Practice address
45202 State Route 558
New Waterford, OH 44445-9753
Phone
(234) 738-5942
NPI assigned
Jul 28, 2026
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 398456 OH Yes

Addresses

Primary practice location

45202 State Route 558
New Waterford, OH 44445-9753

Mailing address

45202 State Route 558
New Waterford, OH 44445-9753

Other providers in New Waterford, OH

All providers in New Waterford, OH · Registered Nurse in Ohio

Sources for this page

Verify at the official NPI Registry.