Pamela Lynn Ellis, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

717099 Issued in TX

Practice address

750 Quinette Dr
Seagoville, TX 75159-1752

Phone

(469) 271-5183

NPI assigned

Jul 24, 2018

Last updated

Jul 24, 2018By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1871070706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 QUINETTE DR",
            "city": "SEAGOVILLE",
            "state": "TX",
            "postal_code": "751591752",
            "telephone_number": "469-271-5183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 QUINETTE DR",
            "city": "SEAGOVILLE",
            "state": "TX",
            "postal_code": "751591752",
            "telephone_number": "469-271-5183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "PAMELA",
        "middle_name": "LYNN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-24",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "717099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dallas County Hospital District (The Manor at Seagoville)
• DFW Consolidated Healthcare Services LLC
• Bret Albert Downing, DDS
• Azucena Duckworth, M.D.
• Stephanie Lynn Dunn
• Paul D. English, D.D.S.
• Fathers Rise Together
• Charla Gaylean Frazier, BCBA
• Kelley Ann Garza
• Edward Louis Gelber, P.A.

• Registered Nurse in Seagoville, TX
• Providers in Seagoville, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; 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.