Individual provider Active NPI

Ann Elizabeth Ellison, F.N.P.

  • Family Nurse Practitioner
  • Alpine, TX
National Provider Identifier
1821378282
Registry record updated Oct 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
707133 Issued in TX
Practice address
2600 N Highway 118
Alpine, TX 79830-2002
Phone
(432) 837-0430
Fax
(432) 837-0249
NPI assigned
Aug 17, 2011
Last updated
Oct 27, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 707133 TX Primary

Addresses

Primary practice location

2600 N Highway 118
Alpine, TX 79830-2002

Mailing address

2600 N Highway 118
Alpine, TX 79830-2002
Phone (432) 837-0430

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
707133TXMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: aeelliso@yourcarecommunity.org

NPI Registry JSON

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414368000000",
    "number": "1821378282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 N HIGHWAY 118",
            "city": "ALPINE",
            "state": "TX",
            "postal_code": "798302002",
            "telephone_number": "432-837-0430",
            "fax_number": "432-837-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 N HIGHWAY 118",
            "city": "ALPINE",
            "state": "TX",
            "postal_code": "798302002",
            "telephone_number": "432-837-0430",
            "fax_number": "432-837-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLISON",
        "first_name": "ANN",
        "middle_name": "ELIZABETH",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-17",
        "last_updated": "2014-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "707133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; 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.