Emilee Nicole Ellingsworth

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

041521416 Issued in IL

Practice address

90 Magnolia Dr Unit 1301
Glen Carbon, IL 62034-1590

Phone

(812) 870-2617

NPI assigned

Jun 25, 2025

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": "1750809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1972491264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 N CHERRY HLS",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620253771",
            "telephone_number": "812-870-2617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 MAGNOLIA DR UNIT 1301",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620341590",
            "telephone_number": "812-870-2617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLINGSWORTH",
        "first_name": "EMILEE",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-25",
        "last_updated": "2025-06-25",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041521416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Max Eakin, M.D.
• Eden Retirement Center, Inc.
• Edwardsville Ambulatory Surgery Center LLC
• Elite Chiropractic Center LLC
• David J Elliff, PT
• Elise Marie Ellington, DC
• Empowerme Psychology, PLLC
• Endodontics of Edwardsville PLLC
• Martha Marie Engeling, ATC
• Kelli D Evans, MSRPT

• Registered Nurse in Glen Carbon, IL
• Providers in Glen Carbon, IL by specialty
• Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; 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.