Katelyn Ellinwood, RN
Registered Nurse in Pawtucket, Rhode Island
1336773001- Practice location
- 101 Bacon St, Pawtucket, RI 02860-5542
- Phone
- 401-722-3560
- Fax
- —
- Last updated
- June 27, 2022
Katelyn Ellinwood is a Registered Nurse based in Pawtucket, RI. Katelyn Ellinwood practices in Pawtucket, RI and has the professional credentials of RN. The NPI Number for Katelyn Ellinwood is 1336773001 and holds a License No. LN98230 (MA). The current practice location address for Katelyn Ellinwood is 101 Bacon St, Pawtucket, RI 02860-5542 and can be reached out via phone at 401-722-3560.
Provider Profile Details
- NPI Number
- 1336773001
- Provider Name
- Katelyn Ellinwood
- Credential
- RN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 101 Bacon St, Pawtucket, RI 02860-5542
- Phone Number
- 401-722-3560
- Primary Taxonomy
- Registered Nurse · 163W00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 2, 2020
- Last Update Date
- June 27, 2022
- Certification Date
- June 27, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 101 Bacon St
Pawtucket, RI 02860-5542 - City
- Pawtucket
- State
- Rhode Island
- Zip
- 02860-5542
- Phone Number
- 401-722-3560
Provider Business Mailing Address Details
- Address
- 101 Bacon St
Pawtucket, RI 02860-5542 - City
- Pawtucket
- State
- RI
- Zip
- 02860-5542
License Information
- License Number (1)
- LN98230
- License State (1)
- MA
- Taxonomy (1)
- Licensed Practical Nurse · 164W00000X
- License Number (2)
- RN71793
- License State (2)
- RI
- Taxonomy (2)
- Registered Nurse · 163W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Katelyn Ellinwood, RN?
The NPI number of Katelyn Ellinwood, RN is 1336773001. It was assigned on March 2, 2020 and is currently active in the NPPES registry.
What is the specialty of Katelyn Ellinwood, RN?
Katelyn Ellinwood, RN is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in MA under license number LN98230.
Where does Katelyn Ellinwood, RN practice?
The practice location is 101 Bacon St, Pawtucket, RI 02860-5542. The office can be reached at 401-722-3560 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1336773001 directly on the NPPES registry website.