Active NPI
Claire Ellis
- Home Health Registered Nurse
- Seattle, WA
National Provider Identifier
1669822888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 000029340
- Practice address
- 4515 Martin Luther King Jr Way S
Ste 100
Seattle, WA 98108-2182 - Phone
- (503) 215-6556
- NPI assigned
- Jun 18, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 000029340 | OR | Primary |
Addresses
Primary practice location
4515 Martin Luther King Jr Way S
Ste 100
Seattle, WA 98108-2182
Mailing address
4531 SE Belmont St Ste 100
Portland, OR 97215-1675
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000029340 | OR | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466208000000",
"number": "1669822888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4531 SE BELMONT ST STE 100",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972151675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4515 MARTIN LUTHER KING JR WAY S",
"address_2": "STE 100",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981082182",
"telephone_number": "503-215-6556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIS",
"first_name": "CLAIRE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-18",
"last_updated": "2016-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "OR",
"license": "000029340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.