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KURT MERVIN ELLISON LPN.
NPI 1669003711
Licensed Practical Nurse in West Palm Beach, FL

Active since January 28, 2020
1639 FORUM PL STE 7, WEST PALM BEACH, FL 33401(561) 712-8821 Get Directions Write a Review

NPPES record last updated: January 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kurt Mervin Ellison Lpn. NPPES

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

KURT MERVIN ELLISON LPN. (NPI 1669003711) is an individual licensed practical nurse in West Palm Beach, Florida, licensed in Florida (PN5222714) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1669003711
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameKURT MERVIN ELLISONCredential: LPN.
Location Address1639 FORUM PL STE 7West Palm Beach, FL 33401-2330
Mailing Address7295 Se Craig StHobe Sound, FL 33455-6114 · (570) 506-3157
Phone(561) 712-8821
Sole ProprietorYes
Enumeration DateJanuary 28, 2020
✔ NPI 1669003711 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 FL · PN5222714
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.
1639 FORUM PL STE 7, West Palm Beach, FL 33401
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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.

MOUVIELLE E CARO GRACIA MD
Psychiatry & Neurology (Psychiatry)
1639 FORUM PL STE 7
WEST PALM BEACH, FL 33401
Palm Beach County (561) 712-8821
MS. ROSELYN PORTNOFF MA
Counselor (Mental Health)
1639 FORUM PL STE 7
WEST PALM BEACH, FL 33401
Palm Beach County (561) 712-8821
ARNOLD BOOKER
Case Manager/Care Coordinator
1639 FORUM PL STE 7
WEST PALM BEACH, FL 33401
Palm Beach County (407) 865-3437
MR. PAUL ARTHUR LITERSKY L.M.H.C.
Counselor (Mental Health)
1639 FORUM PL STE 7
WEST PALM BEACH, FL 33401
Palm Beach County (561) 712-8821
MRS. DENIELE LORI DEGRYSE LMHC
Counselor (Mental Health)
1639 FORUM PL STE 7
WEST PALM BEACH, FL 33401
Palm Beach County (561) 712-8821
MS. YARA DE SA M.S.
Counselor (Mental Health)
1639 FORUM PL STE 7
WEST PALM BEACH, FL 33401
Palm Beach County (561) 712-8821
ADRIANA MARIA GONZALEZ
Counselor (Mental Health)
1639 FORUM PL STE 7
WEST PALM BEACH, FL 33401
Palm Beach County (786) 351-7112
DANAISYS OLIVERA
Counselor (Mental Health)
1639 FORUM PL STE 7
WEST PALM BEACH, FL 33401
Palm Beach County (561) 712-8821

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 Kurt Ellison's NPI number?

The NPI number for Kurt Ellison is 1669003711. It was assigned to this individual provider in the NPPES registry on January 28, 2020.

Where is Kurt Ellison located?

Kurt Ellison practices at 1639 Forum Pl Ste 7, West Palm Beach, FL 33401. The listed phone number is (561) 712-8821.

What is Kurt Ellison'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 Kurt Ellison was last updated on January 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.