SHANNA ELLIS RN
NPI 1770171522
Registered Nurse - Medical-Surgical in Louisville, KY

Active since January 07, 2021
5405 RURAL WAY, LOUISVILLE, KY 40218(502) 741-0193 Get Directions Write a Review

NPPES record last updated: January 7, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Shanna Ellis Rn NPPES

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

SHANNA ELLIS RN (NPI 1770171522) is an individual medical-surgical provider in Louisville, Kentucky, licensed in Kentucky (1119268) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1770171522
Entity TypeIndividualFemale
Primary Taxonomy163WM0705X
Provider Legal NameSHANNA ELLISCredential: RN
Location Address5405 RURAL WAYLouisville, KY 40218-4247
Mailing Address5405 Rural WayLouisville, KY 40218-4247
Sole ProprietorYes
Enumeration DateJanuary 7, 2021
NPPES CertifiedJanuary 7, 2021
NPI 1770171522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · Medical-SurgicalNursing Service Providers
Taxonomy Code163WM0705X
License Licensed in KY · 1119268
5405 RURAL WAY, Louisville, KY 40218

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 Shanna Ellis's NPI number?

The NPI number for Shanna Ellis is 1770171522. It was assigned to this individual provider in the NPPES registry on January 7, 2021.

Where is Shanna Ellis located?

Shanna Ellis practices at 5405 Rural Way, Louisville, KY 40218. The listed phone number is (502) 741-0193.

What is Shanna Ellis's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Medical-Surgical, with taxonomy code 163WM0705X.

When was this NPI record last updated?

The NPPES record for Shanna Ellis was last updated on January 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.