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MRS. KATHRYN KRUEGER ELLIS N.P.
NPI 1720297096
Nurse Practitioner - Family in Vienna, VA

Active since May 22, 2007
337 MAPLE AVE E., VIENNA, VA 22180(703) 424-1302 Get Directions Write a Review

NPPES record last updated: March 10, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Kathryn Krueger Ellis N.p. NPPES

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

MRS. KATHRYN KRUEGER ELLIS N.P. (NPI 1720297096) is an individual family provider in Vienna, Virginia, licensed in Virginia (0024101218) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1720297096
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KATHRYN KRUEGER ELLISCredential: N.P.
Location Address337 MAPLE AVE E.Vienna, VA 22180
Mailing Address310 Forest DrFalls Church, VA 22046-3627 · (703) 534-7178
Phone(703) 424-1302
Sole ProprietorNo
Enumeration DateMay 22, 2007
Last NPPES UpdateMarch 10, 2009
✔ NPI 1720297096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in VA · 0024101218
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License RN1003376 (DC), 0024101218 (VA)
337 MAPLE AVE E., Vienna, VA 22180
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Other Identifiers 2

Medicare PINMC12524VA
Medicare PIN142866ZCCUVA

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 Kathryn Ellis's NPI number?

The NPI number for Kathryn Ellis is 1720297096. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Kathryn Ellis located?

Kathryn Ellis practices at 337 Maple Ave E., Vienna, VA 22180. The listed phone number is (703) 424-1302.

What is Kathryn Ellis's specialty?

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

When was this NPI record last updated?

The NPPES record for Kathryn Ellis was last updated on March 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.