Kathleen Conboy-Ellis, ARNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

ARNP 3105812 Issued in FL

Practice address

401 W Kennedy Blvd
Tampa, FL 33606-1450

Phone

(813) 253-3333

Fax

(813) 353-3194

NPI assigned

Jul 18, 2006

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

State licenses

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780602599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4739 SKIMMER WAY S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337114660",
            "telephone_number": "727-867-5283",
            "fax_number": "727-865-2089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W KENNEDY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336061450",
            "telephone_number": "813-253-3333",
            "fax_number": "813-353-3194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONBOY-ELLIS",
        "first_name": "KATHLEEN",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "ARNP 3105812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Comprehensive Rehab Programs
• Comprehensive Rehabilitation LTD
• Bernadette S Comstock, LMSW, ISW
• Bryce Comstock, MD
• Con-40 Wellness Center Inc.
• Kerry Lynn Conca, M.A.
• Nelisa Concepcion Gomez
• Concepcion-Cipriano and Associates, P.a.
• Yolanda Concepcion-Cipriano, L.M.H.C.
• George Luis Concepcion, MD

• Pediatric Nurse Practitioner in Tampa, FL
• Providers in Tampa, FL by specialty
• Pediatric Nurse Practitioner in Florida

• 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.