Mary Janet Ellison, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R79392-2 Issued in MN

Practice address

266 E Bridge St
Redwood Falls, MN 56283-1664

Phone

(507) 637-4041

Fax

(507) 637-4046

NPI assigned

May 16, 2013

Last updated

May 16, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• County of Redwood

  dba Redwood County Public Health Service

  • Home Health Agency
  • Redwood Falls, MN
  • NPI 1356447544
  NPD (past)

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

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368662400000",
    "number": "1780020792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 E BRIDGE ST",
            "city": "REDWOOD FALLS",
            "state": "MN",
            "postal_code": "562831664",
            "telephone_number": "507-637-4041",
            "fax_number": "507-637-4046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 E BRIDGE ST",
            "city": "REDWOOD FALLS",
            "state": "MN",
            "postal_code": "562831664",
            "telephone_number": "507-637-4041",
            "fax_number": "507-637-4046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLISON",
        "first_name": "MARY",
        "middle_name": "JANET",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-16",
        "last_updated": "2013-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R79392-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• County of Redwood (Redwood County Public Health Service)
• David L Danielson, MD
• Wende Joyce Davis, RN
• Krystle Dillon, PA-C
• Alicia Eliason, RN, CNP
• Fischer Laser Eye Center, LLC (Family Eye Center)
• Kelly J Fisk-Wanzek, M.A., CCC-SLP
• Jennifer L Flinn, PSYD, LP
• Michael William Flinn, DDS
• Christine Marie Forry Tauer, RN

• Registered Nurse in Redwood Falls, MN
• Providers in Redwood Falls, MN by specialty
• Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; 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.