Joan R Ellmore, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

0001073375 Issued in VA

Practice address

1301 Sam Perry Blvd
Fredericksburg, VA 22401-8420

Phone

(540) 741-3716

Fax

(540) 741-1096

NPI assigned

Dec 27, 2006

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

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Fredericksburg Area Regional Health Council

  • Primary Care Clinic/Center
  • Fredericksburg, VA
  • NPI 1225358930
  NPD (past)
• Lloyd F. Moss Free Clinic

  • Health Service Clinic/Center
  • Fredericksburg, VA
  • NPI 1487089512
  NPD (past)

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327449600000",
    "number": "1811052145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 EAST JEFFERSON STREET PPQA MEDICARE COMPLIANCE UNI",
            "address_2": "KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524908",
            "telephone_number": "301-816-6660",
            "fax_number": "301-816-6308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SAM PERRY BLVD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224018420",
            "telephone_number": "540-741-3716",
            "fax_number": "540-741-1096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLMORE",
        "first_name": "JOAN",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2012-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0001073375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol E Ellinger, LCSW
• Nora Kay Elliott, MASTERS
• Sabrina Nicole Elliott, MD
• Desiree Ellis
• Jacqueline Nicole Ellis, LMT
• Asaad Elmedkhar
• Mohamed Elnahass, D.D.S.
• Mohammed Elsaid, BDS,MSC, PHD
• Mostafa Amir Elsayed
• Earl Thomas Elstner Jr., D.M.D.

• Nurse Practitioner in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Nurse Practitioner in Virginia

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