Patrice Ellis

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Practice address

512 Roundtree Dr
Elizabeth City, NC 27909-7711

Phone

(252) 267-3835

NPI assigned

Oct 5, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1841915642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 RANCH DR",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279099698",
            "telephone_number": "252-267-3835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 ROUNDTREE DR",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279097711",
            "telephone_number": "252-267-3835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "PATRICE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-05",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "address_1": "512 Roundtree Dr",
            "city": "Elizabeth City",
            "state": "NC",
            "country_code": "US",
            "postal_code": "279097711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elizabeth City Health and Rehabilitation, LLC
• Elizabeth City Orthopedic Surgery Center
• Elizabeth City Pasquotank Public Schools
• Elizabeth City State University Student Health Services Pharmacy
• John Daniel Elliott, D.O.
• Anthony Emekalam, PHARM.D.
• Emergency Medicine Physicians of Pasquotank County, PLLC
• Empowerment Counseling & Coaching, PLLC
• Thaddeus D English, MPAC
• Mona Estes

• Attendant Care Provider in Elizabeth City, NC
• Providers in Elizabeth City, NC by specialty
• Attendant Care Provider in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; 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.