ELLIE TUNISON M.A., M.ED., NPI 1053821603 — NEW YORK (NY)

NPI 1053821603

2+ Years Experience Individual

ELLIE TUNISON M.A., M.ED.

10.10.2017
PROVIDER ENUMERATION DATE
10.10.2017
LAST UPDATE DATE
1053821603
NPI NUMBER

About ELLIE TUNISON

Sole proprietor? No, Entity Type 1 Provider (Individual) is not a Sole Proprietor.

ELLIE TUNISON is a provider established in NEW YORK, NY. The NPI number of ELLIE TUNISON is 1053821603 and was assigned on 10.10.2017. The practitioners primary taxonomy code is: 235500000X .

Mailing address

  • City: NEW YORK
  • State: NY
  • Postal code: 100288004
  • Address: 80 E END AVE
  • Address 2: CLARKE SCHOOL

Primary Practice Address

  • Region : NEW YORK, NY
  • NPI : 1053821603
  • Phone : 2125853500
  • Postalcode : 10028
  • Address : 80 E END AVE CLARKE SCHOOL

Provider taxonomy - Specialist/Technologist

  • Taxonomy code: 235500000X

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Taxonomy description: General classification identifying individuals who are trained on a specific piece of equipment or technical procedure.

Contacts:

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  • ELLIE TUNISON M.A., M.ED.
  • Address : 80 E END AVE CLARKE SCHOOL
  • Region : NEW YORK, NY
  • NPI : 1053821603
  • Phone : 2125853500
  • Postalcode : 10028

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address80 E END AVE
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Second Line Business Practice Location AddressCLARKE SCHOOL
The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameNEW YORK
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameNY
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code10028
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number2125853500
The telephone number associated with the location address of the provider being identified.
NPI1053821603
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1235500000X
General classification identifying individuals who are trained on a specific piece of equipment or technical procedure.
Provider Enumeration Date10.10.2017
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated10.10.2017
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)ELLIE TUNISON
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address80 E END AVE
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Second Line Business Mailing AddressCLARKE SCHOOL
The second line mailing address of the provider being identified. This data element may contain the same information as "Provider second line location address".
Provider Business Mailing Address City NameNEW YORK
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameNY
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code100288004
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Healthcare Provider Taxonomy Code #1235500000X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Specialist/Technologist
General classification identifying individuals who are trained on a specific piece of equipment or technical procedure.
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Provider Gender CodeF
  • M - male
  • F - female
Is sole proprietorN
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

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