MRS. CRYSTAL ELLIS LPN
NPI 1578274684
Licensed Practical Nurse in Mount Vernon, NY

Active since December 09, 2022
11 W PROSPECT AVE, MOUNT VERNON, NY 10550(914) 668-8938(914) 668-2545 Get Directions Write a Review

NPPES record last updated: December 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Crystal Ellis Lpn NPPES

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

MRS. CRYSTAL ELLIS LPN (NPI 1578274684) is an individual licensed practical nurse in Mount Vernon, New York, licensed in New York (344728) and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1578274684
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. CRYSTAL ELLISCredential: LPN
Location Address11 W PROSPECT AVEMount Vernon, NY 10550-2017
Mailing Address845 N BroadwayWhite Plains, NY 10603-2427 · (914) 761-0600 · Fax (914) 761-5367
Fax(914) 668-2545
Sole ProprietorNo
Enumeration DateDecember 9, 2022
NPPES CertifiedDecember 9, 2022
NPI 1578274684 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 · 344728
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.
11 W PROSPECT AVE, Mount Vernon, NY 10550

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.

Nurse Practitioner (Psychiatric/Mental Health)
11 W PROSPECT AVE
MOUNT VERNON, NY 10550
Counselor (Mental Health)
11 W PROSPECT AVE
MOUNT VERNON, NY 10550
Licensed Practical Nurse
11 W PROSPECT AVE
MOUNT VERNON, NY 10550
Case Manager/Care Coordinator
11 W PROSPECT AVE
MOUNT VERNON, NY 10550
Student in an Organized Health Care Education/Training Program
11 W PROSPECT AVE
MOUNT VERNON, NY 10550
Registered Nurse (Community Health)
11 W PROSPECT AVE
MOUNT VERNON, NY 10550
Student in an Organized Health Care Education/Training Program
11 W PROSPECT AVE
MOUNT VERNON, NY 10550
Student in an Organized Health Care Education/Training Program
11 W PROSPECT AVE
MOUNT VERNON, NY 10550

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 Crystal Ellis's NPI number?

The NPI number for Crystal Ellis is 1578274684. It was assigned to this individual provider in the NPPES registry on December 9, 2022.

Where is Crystal Ellis located?

Crystal Ellis practices at 11 W Prospect Ave, Mount Vernon, NY 10550. The listed phone number is (914) 668-8938.

What is Crystal 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 Crystal Ellis was last updated on December 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.