NPIMap

Organization Active NPI

The Ellison Nursing Group, LLC.

  • Registered Nurse
  • Fort Washington, PA
National Provider Identifier
1780922237
Registry record updated Jan 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
PN293516 Issued in PA
Legal business name
THE ELLISON NURSING GROUP, LLC.
Practice address
500 Office Center Dr
Suite 400
Fort Washington, PA 19034-3219
Phone
(267) 513-1722
Fax
(267) 513-1728
NPI assigned
Jan 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Suze Desire-Jeantine
Title
Nurse
Phone
(267) 513-1722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X PN293516 PA Primary

Addresses

Primary practice location

500 Office Center Dr
Suite 400
Fort Washington, PA 19034-3219

Mailing address

500 Office Center Dr
Suite 400
Fort Washington, PA 19034-3219
Phone (267) 513-1722

National Provider Directory

National Provider Directory
Tax ID family
The Ellison Nursing Group LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358380800000",
    "number": "1780922237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 OFFICE CENTER DR",
            "address_2": "SUITE 400",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190343219",
            "telephone_number": "267-513-1722",
            "fax_number": "267-513-1728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 OFFICE CENTER DR",
            "address_2": "SUITE 400",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190343219",
            "telephone_number": "267-513-1722",
            "fax_number": "267-513-1728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ELLISON NURSING GROUP, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-17",
        "last_updated": "2013-01-17",
        "status": "A",
        "authorized_official_last_name": "DESIRE-JEANTINE",
        "authorized_official_first_name": "SUZE",
        "authorized_official_title_or_position": "NURSE",
        "authorized_official_telephone_number": "267-513-1722"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "PN293516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Washington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.