Ellen Jane Schupay, RN, ARNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

AP30006602 Issued in WA

Practice address

2001 E Madison St
Seattle, WA 98122-2959

Phone

(206) 935-5623

NPI assigned

Mar 21, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ellen Jane Carroll Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659497873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3390",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983833390",
            "telephone_number": "360-434-3607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 E MADISON ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981222959",
            "telephone_number": "206-935-5623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUPAY",
        "first_name": "ELLEN",
        "middle_name": "JANE",
        "credential": "RN, ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "WA",
            "license": "AP30006602",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "RN460884-5524",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "CARROLL",
            "middle_name": "JANE",
            "credential": "RN, NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Barbara C Schumaker, LDO
• Heather D Schuman, M.S., OTR/L
• Nancy E Schuman, ARNP
• Kelly Schumann, MSOT, OTR/L
• Lara D Schunneman, MSW
• Cailin Marie Schupbach, LICSW, SUDP
• Ellen Anne Schur
• Brooke Schuster, LMP
• Jacob Schuster
• Lee Alexander Schuster, DC ATC

• Women's Health Nurse Practitioner in Seattle, WA
• Providers in Seattle, WA by specialty
• Women's Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.