Michelle Ellis, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

60321 Issued in WV

Practice address

3157 Robert C. Byrd Dr.
Beckley, WV 25801

Phone

(304) 253-9355

NPI assigned

Feb 28, 2012

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)

Enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/6958/brand/1/csg/1/fhir/r4

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

• Brian S. Love MD, Inc

  • Family Medicine Physician
  • Beckley, WV
  • NPI 1376796961
  NPD (past)

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

{
    "created_epoch": "1330387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330387200000",
    "number": "1790059459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1486",
            "city": "PINEVILLE",
            "state": "WV",
            "postal_code": "248741486",
            "telephone_number": "304-732-7824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3157 ROBERT C. BYRD DR.",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "25801",
            "telephone_number": "304-253-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "MICHELLE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-28",
        "last_updated": "2012-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "60321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela M Ellis-Lively
• Cassandra Ellis
• Charles Wesley Ellis II, PHARMD
• James R Ellis, ANP-BC
• Kriston Ellis
• Nikki Ellis, MA, CCC-SLP
• Wayne Enoch Ellis, PH.D., CRNA
• Desirae Serene Ellison
• Mini Jacob Elnaggar, M.D.
• Caitlin Renee Elswick, LGSW

• Family Nurse Practitioner in Beckley, WV
• Providers in Beckley, WV by specialty
• Family Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; 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.