Leann Ellingson

Primary specialty

Infection Control Registered NurseTaxonomy code 163WI0600X

License

188030-30 Issued in WI

Practice address

W 725 CTH D
Birchwood, WI 54817

Phone

(763) 607-3484

NPI assigned

Aug 5, 2016

Last updated

Aug 5, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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": "1470355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470355200000",
    "number": "1609320878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 326",
            "city": "BIRCHWOOD",
            "state": "WI",
            "postal_code": "548170326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W 725 CTH D",
            "city": "BIRCHWOOD",
            "state": "WI",
            "postal_code": "54817",
            "telephone_number": "763-607-3484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLINGSON",
        "first_name": "LEANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-05",
        "last_updated": "2016-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WI0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infection Control",
            "state": "WI",
            "license": "188030-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Birchwood Family Medicine, LLC
• Birchwood Four Corners Emergency Services District (Birchwood Ambulance Service)
• Birchwood Four Corners Emergency Services District (Birchwood Ambulance Service)
• Kristen Marjorie Dall-Winther, MD, FAAFP
• Rick D Freitag, M.D.
• Roberta A Freitag, R.PH., CGP
• Andrew Higley
• John M Kane, DDS
• Kathryn Langevin, DMD

• Infection Control Registered Nurse in Birchwood, WI
• Providers in Birchwood, WI by specialty
• Infection Control Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; 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.