Candice Capri Ellis, LIC. AC DIPLOMATE N.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

0163 Issued in MA

Practice address

181 Elliott St
100 Cummings Center #321J
Beverly, MA 01915-6123

Phone

(978) 969-0252

Fax

(978) 969-0356

NPI assigned

Dec 4, 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)

Not enrolled

State licenses

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352419200000",
    "number": "1821156001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 ELLIOTT ST",
            "address_2": "100 CUMMINGS CENTER #321J",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156123",
            "telephone_number": "978-969-0252",
            "fax_number": "978-969-0356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 ELLIOTT ST",
            "address_2": "100 CUMMINGS CENTER #321J",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156123",
            "telephone_number": "978-969-0252",
            "fax_number": "978-969-0356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "CANDICE",
        "middle_name": "CAPRI",
        "name_prefix": "Ms.",
        "credential": "LIC. AC DIPLOMATE N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2012-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MA",
            "license": "0163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Nicole Eisenbud, OTR/L, MOT
• Kristin Ekborg, MSW, LICSW
• Jacqueline Eldridge
• Youssra Elfaquir
• Rylee Janice Elliott
• Gail L Ellis, MD
• Magdalena Ellis
• Kelly Ellison, LMHC
• Theresa Ann Elvidge, LICSW
• Jaime Emelian

• Acupuncturist in Beverly, MA
• Providers in Beverly, MA by specialty
• Acupuncturist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.