Ann Mary Mitchell Ellsworth, CNS

Primary specialty

Acute Care Clinical Nurse SpecialistTaxonomy code 364SA2100X

License

4685 Issued in CA

Practice address

180 El Camino Real
Suite 1199, Second Floor, Office 216
Palo Alto, CA 94304

Phone

(650) 206-0802

NPI assigned

Mar 15, 2023

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

Credentials

Certified Nurse Specialist

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1770284879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 EL CAMINO REAL",
            "address_2": "SUITE 1199, SECOND FLOOR, OFFICE 216",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "94304",
            "telephone_number": "650-206-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 EL CAMINO REAL",
            "address_2": "SUITE 1199, SECOND FLOOR, OFFICE 216",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "94304",
            "telephone_number": "650-206-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL ELLSWORTH",
        "first_name": "ANN",
        "middle_name": "MARY",
        "credential": "CNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2100X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Acute Care",
            "state": "CA",
            "license": "4685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Misalud, Inc.
• Chandan Misra
• Yasha Misra
• Ayushi Anupbhai Mistry
• Meenal D Mistry, PA-C
• Amrita Mitchell-Krishnan, PHD
• Jacquelyn Mitchell, APRN
• Jason Bryan Mitchell, MD
• Linda Frances Mitchell, M.A.
• Megan Lee Mitchell

• Acute Care Clinical Nurse Specialist in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Acute Care Clinical Nurse Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.