LISA MARIE ELLIS
NPI 1144593419
Licensed Practical Nurse in Syracuse, NY

Active since February 17, 2012
1050 W GENESEE ST, SYRACUSE, NY 13204(315) 424-3744(315) 424-3715 Get Directions Write a Review

NPPES record last updated: February 17, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lisa Marie Ellis NPPES

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

LISA MARIE ELLIS (NPI 1144593419) is an individual licensed practical nurse in Syracuse, New York, licensed in New York (305539) and active in the NPI registry since February 2012.

NPPES Registry Identity

NPI1144593419
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameLISA MARIE ELLIS
Location Address1050 W GENESEE STSyracuse, NY 13204-2215
Mailing Address1050 W Genesee StSyracuse, NY 13204-2215 · (315) 424-3744 · Fax (315) 424-3715
Fax(315) 424-3715
Sole ProprietorYes
Enumeration DateFebruary 17, 2012
NPI 1144593419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in NY · 305539
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
1050 W GENESEE ST, Syracuse, NY 13204

Other Names 1

Former Name (1)Lisa Marie Edwards

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Licensed Practical Nurse
1050 W GENESEE ST
SYRACUSE, NY 13204
Licensed Practical Nurse
1050 W GENESEE ST
SYRACUSE, NY 13204
Licensed Practical Nurse
1050 W GENESEE ST
SYRACUSE, NY 13204
Licensed Practical Nurse
1050 W GENESEE ST
SYRACUSE, NY 13204
Registered Nurse
1050 W GENESEE ST, INDEPENDENT HEALTH CARE SERVICES
SYRACUSE, NY 13204
Nurse Practitioner (Family)
1050 W GENESEE ST
SYRACUSE, NY 13204
Nurse Practitioner (Family)
1050 W GENESEE ST
SYRACUSE, NY 13204
Licensed Practical Nurse
1050 W GENESEE ST
SYRACUSE, NY 13204

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 Lisa Ellis's NPI number?

The NPI number for Lisa Ellis is 1144593419. It was assigned to this individual provider in the NPPES registry on February 17, 2012. The provider is also known as Lisa Marie Edwards.

Where is Lisa Ellis located?

Lisa Ellis practices at 1050 W Genesee St, Syracuse, NY 13204. The listed phone number is (315) 424-3744.

What is Lisa Ellis's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Lisa Ellis was last updated on February 17, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.