NPIMap

Organization Active NPI

Ellen Spinner LLC

  • Women's Health Nurse Practitioner
  • Mechanicsburg, OH
National Provider Identifier
1568696094
Registry record updated May 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
NP04620 Issued in OH
Legal business name
ELLEN SPINNER LLC
Practice address
15 N Main St
Mechanicsburg, OH 43044-1106
Phone
(937) 834-5320
Fax
(937) 834-5322
NPI assigned
May 12, 2009
Last updated
May 13, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2009

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

Authorized official

Name
Ellen Coleen Spinner, CNPNPI 1962628792
Title
Owner
Phone
(937) 834-5320

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LW0102X NP04620 OH Primary

Addresses

Primary practice location

15 N Main St
Mechanicsburg, OH 43044-1106

Mailing address

15 N Main St
Mechanicsburg, OH 43044-1106
Phone (937) 834-5320

National Provider Directory

National Provider Directory

Locations

15 N Main St
Mechanicsburg, OH 43044
Phone (937) 834-5320

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242172800000",
    "number": "1568696094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 N MAIN ST",
            "city": "MECHANICSBURG",
            "state": "OH",
            "postal_code": "430441106",
            "telephone_number": "937-834-5320",
            "fax_number": "937-834-5322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 N MAIN ST",
            "city": "MECHANICSBURG",
            "state": "OH",
            "postal_code": "430441106",
            "telephone_number": "937-834-5320",
            "fax_number": "937-834-5322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLEN SPINNER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-12",
        "last_updated": "2009-05-13",
        "status": "A",
        "authorized_official_last_name": "SPINNER",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "COLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-834-5320",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OH",
            "license": "NP04620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; 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.