Ellen S O'Rourke, LIC. AC.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN237734 Issued in MA

Practice address

390 Main St
Suite 926
Worcester, MA 01608-2583

Phone

(508) 754-9287

NPI assigned

Jul 16, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1972767135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 MAIN ST STE 926",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016082503",
            "telephone_number": "508-754-9287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 MAIN ST",
            "address_2": "SUITE 926",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016082583",
            "telephone_number": "508-754-9287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'ROURKE",
        "first_name": "ELLEN",
        "middle_name": "S",
        "credential": "LIC. AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-16",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MA",
            "license": "213",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN237734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylyn O'Neill, OTR/L
• Rachael O'Neill, LMHC
• Shawna Kathleen O'Neill
• Deirdre M. O'Reilly, MD, MPH
• Mary Linda L O'Reilly, NP
• Gregory O'Rourke, M.A.
• Megan Elizabeth O'Rourke
• Michelle L O'Rourke, NP
• Nancy O'Rourke, NP
• Erin E O'Shea Paudel, D.O.

• Nurse Practitioner in Worcester, MA
• Providers in Worcester, MA by specialty
• Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.