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MARY ELLINGTON APRN LLC
NPI 1073324232
Nurse Practitioner - Family in Dixon, KY

Active since January 16, 2025CLIA 18D2317238 · Waiver
1871 US HIGHWAY 41AS, DIXON, KY 42409(270) 543-6372(270) 440-0007 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mary Ellington Aprn Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY ELLINGTON APRN LLC (NPI 1073324232) is a healthcare organization registered as a family in Dixon, Kentucky and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through January 20, 2027 and lists Mary Virginia Ellington, Owner, as its authorized official.

NPPES Registry Identity

NPI1073324232
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMARY ELLINGTON APRN LLC
Location Address1871 US HIGHWAY 41ASDixon, KY 42409-9448
Mailing Address1870 Shakerag RdHanson, KY 42413-9698 · (270) 543-6372 · Fax (270) 440-0007
Phone(270) 543-6372
Fax(270) 440-0007
Organization SubpartNo
Authorized OfficialMary Virginia EllingtonOwner · (270) 543-6372
Enumeration DateJanuary 16, 2025
NPPES CertifiedJanuary 15, 2025
✔ NPI 1073324232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1871 US HIGHWAY 41AS, Dixon, KY 42409
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D2317238

Mary Ellington Aprn LLC · Dixon, KY
Active · expires Jan 20, 2027
CLIA Number18D2317238
Laboratory TypePractitioner Other
Certificate Effective DateJanuary 21, 2025
Certificate Expiration DateJanuary 20, 2027
Laboratory DirectorMs. Mary V. Ellington
Laboratory Phone(270) 543-6372
Laboratory LocationMary Ellington Aprn LLC1871 Highway 41-A South, Dixon, KY 42409
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Ellington Aprn LLC's NPI number?

The NPI number for Mary Ellington Aprn LLC is 1073324232. It was assigned to this organization in the NPPES registry on January 16, 2025.

Where is Mary Ellington Aprn LLC located?

Mary Ellington Aprn LLC is located at 1871 Us Highway 41as, Dixon, KY 42409. The listed phone number is (270) 543-6372.

What is Mary Ellington Aprn LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Mary Ellington Aprn LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2317238) is associated with this NPI, valid through January 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mary Ellington Aprn LLC was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.