1. Home
  2. Directory
  3. Florida
  4. Bartow
  5. Nurse Practitioner
  6. NPI Profile

MRS. KATHA D ELLIS APRN
NPI 1841658135
Nurse Practitioner - Adult Health in Bartow, FL

Active since February 02, 2016
1255 GOLFVIEW AVE, BARTOW, FL 33830(863) 519-0575(863) 582-9251 Get Directions Write a Review

NPPES record last updated: March 19, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 19, 2020, Mar 17, 2018, Jun 30, 2017 and 1 more (4 updates tracked since 2016).

About Mrs. Katha D Ellis Aprn NPPES

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

MRS. KATHA D ELLIS APRN (NPI 1841658135) is an individual adult health provider in Bartow, Florida, licensed in Florida (APRN731232) and active in the NPI registry since February 2016.

NPPES Registry Identity

NPI1841658135
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. KATHA D ELLISCredential: APRN
Location Address1255 GOLFVIEW AVEBartow, FL 33830-6736
Mailing AddressPo Box 1559Bartow, FL 33831-1559 · (863) 519-0575 · Fax (863) 582-9251
Phone(863) 519-0575
Fax(863) 582-9251
Sole ProprietorNo
Enumeration DateFebruary 2, 2016
Last NPPES UpdateMarch 19, 20204 updates tracked since enumeration
NPPES CertifiedMarch 19, 2020
✔ NPI 1841658135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in FL · APRN731232
1255 GOLFVIEW AVE, Bartow, FL 33830
Open in Google Maps ↗

Other Identifiers 1

Medicaid016655800FL

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.

IMPRICE JOHNSON RN
Registered Nurse
1255 GOLFVIEW AVE
BARTOW, FL 33830
Polk County (863) 519-0575
SHERRY L ROSS WILLIAMS
Community Health Worker
1255 GOLFVIEW AVE
BARTOW, FL 33830
Polk County (863) 519-0575
JESSICA LITTLE LMHC
Counselor (Mental Health)
1255 GOLFVIEW AVE
BARTOW, FL 33830
Polk County (863) 519-0575
WILLIAM SADOWSKY MD
Psychiatry & Neurology (Psychiatry)
1255 GOLFVIEW AVE
BARTOW, FL 33830
Polk County (863) 519-0575
ROBERT RIVERA
Community Health Worker
1255 GOLFVIEW AVE
BARTOW, FL 33830
Polk County (863) 519-0575
AMANDA DAE BARRY RN
Registered Nurse
1255 GOLFVIEW AVE
BARTOW, FL 33830
Polk County (863) 519-0575
TRAVIS RISNER
Counselor
1255 GOLFVIEW AVE
BARTOW, FL 33830
Polk County (863) 519-0575
CHAD FEACHER
Counselor (Mental Health)
1255 GOLFVIEW AVE
BARTOW, FL 33830
Polk County (863) 519-0575

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 Katha Ellis's NPI number?

The NPI number for Katha Ellis is 1841658135. It was assigned to this individual provider in the NPPES registry on February 2, 2016.

Where is Katha Ellis located?

Katha Ellis practices at 1255 Golfview Ave, Bartow, FL 33830. The listed phone number is (863) 519-0575.

What is Katha Ellis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Katha Ellis was last updated on March 19, 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.