CARISSA ELLIS R.N. - NPI 1740632496 - Registered Nurse in Mastic Beach, NY

Q: What is Carissa Ellis's NPI number?

The NPI number for Carissa Ellis is 1740632496. It was assigned to this individual provider in the NPPES registry on July 6, 2016.

Q: What is Carissa Ellis's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Carissa Ellis was last updated on July 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

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About Carissa Ellis R.n. NPPES

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

CARISSA ELLIS R.N. (NPI 1740632496) is an individual registered nurse in Mastic Beach, New York, licensed in New York (22 717140) and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1740632496

Entity TypeIndividualFemale

Primary Taxonomy163W00000X

Provider Legal NameCARISSA ELLISCredential: R.N.

Location Address74 MILL DRMastic Beach, NY 11951-1403

Mailing AddressPo Box 5582Bay Shore, NY 11706-0411 · (631) 578-5758

Phone(631) 578-5758

Sole ProprietorYes

Enumeration DateJuly 6, 2016

✔ NPI 1740632496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in NY · 22 717140

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

74 MILL DR, Mastic Beach, NY 11951

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Other Providers at the Same Location NPPES 15

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

SELF EMPLOYED

Skilled Nursing Facility