Individual provider Active NPI

Cheneada Carol Ellington, RN

  • Registered Nurse
  • Willoughby Hills, OH
National Provider Identifier
1790931855
Registry record updated May 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
408980 Issued in OH
Practice address
27400 Chardon Rd
Apartment #1000
Willoughby Hills, OH 44092-2901
Phone
(216) 704-4898
NPI assigned
Aug 8, 2008
Last updated
May 25, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 408980 OH Primary

Addresses

Primary practice location

27400 Chardon Rd
Apartment #1000
Willoughby Hills, OH 44092-2901

Mailing address

27400 Chardon Rd
Apartment #1000
Willoughby Hills, OH 44092-2901
Phone (216) 704-4898

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
408980OHMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1218153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432512000000",
    "number": "1790931855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27400 CHARDON RD",
            "address_2": "APARTMENT #1000",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440922901",
            "telephone_number": "216-704-4898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27400 CHARDON RD",
            "address_2": "APARTMENT #1000",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440922901",
            "telephone_number": "216-704-4898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLINGTON",
        "first_name": "CHENEADA",
        "middle_name": "CAROL",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-08",
        "last_updated": "2015-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "408980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willoughby Hills, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2015; 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.