Active NPI
Ellen A Branoff, ARNP
- Family Nurse Practitioner
- Ormond Beach, FL
National Provider Identifier
1962536029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP 1002882
- Practice address
- 545 W Granada Blvd
Ormond Beach, FL 32174-5103 - Phone
- (386) 672-6750
- Fax
- (386) 677-7463
- NPI assigned
- Mar 14, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP 1002882 | FL | Primary |
Addresses
Primary practice location
545 W Granada Blvd
Ormond Beach, FL 32174-5103
Mailing address
282 S Beach St
Ormond Beach, FL 32174-6422
Phone (386) 672-6243
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
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 1002882 | FL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962536029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "282 S BEACH ST",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321746422",
"telephone_number": "386-672-6243",
"fax_number": "673-677-7463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 W GRANADA BLVD",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321745103",
"telephone_number": "386-672-6750",
"fax_number": "386-677-7463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANOFF",
"first_name": "ELLEN",
"middle_name": "A",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP 1002882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ormond Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.