Ellison Beth Dart, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

5014036 Issued in NC

Practice address

10027 US 70 Business Hwy W Ste C
Clayton, NC 27520-2115

Phone

(919) 424-0062

Fax

(919) 704-3674

NPI assigned

Sep 22, 2014

Last updated

Sep 12, 2022By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, CO2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Appalachian Mountain Community Health Centers

  dba Tallulah Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Robbinsville, NC
  • NPI 1780064832
  Medicare reassignment NPD
• Colorado West Psychiatric Hospital, Inc.

  dba West Springs Hospital, Inc.

  • Psychiatric Hospital
  • Grand Junction, CO
  • NPI 1275680837
  Medicare reassignment NPD
• Colorado West Psychiatric Hospital, Inc.

  dba Colorado West Psychiatric Hospital Pro Fees

  • Psychiatric Hospital
  • Grand Junction, CO
  • NPI 1215536107

  Psychiatric/Mental Health

  NPD (past)

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1780086710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2885 OLD US 70 HWY W LOT 33",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275206562",
            "telephone_number": "919-817-3373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10027 US 70 BUSINESS HWY W STE C",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275202115",
            "telephone_number": "919-424-0062",
            "fax_number": "919-704-3674"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 NW Maynard Rd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275138707",
            "country_code": "US",
            "telephone_number": "919-424-0062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DART",
        "first_name": "ELLISON",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-22",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5014036",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "NC",
            "license": "228772",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Quinlon Curtis, PT, DPT
• CVS Health
• Joseph Leo Dalfo, DPT
• Timothy Lamont Dalton, MSPT
• Aubry Daniel, LMFT
• Rosana Datti, PHARMD
• Alisha Chestnut Davenport, FNP-BC
• David V Meehan MD PA
• Abigail Davis
• Ebony Jamiea Davis

• Psychiatric/Mental Health Nurse Practitioner in Clayton, NC
• Providers in Clayton, NC by specialty
• Psychiatric/Mental Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.