Nurse Practitioner, Pediatrics
KATHERINE ELLIS
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1043706393 · enumerated 2018-07-10 · record updated 2018-07-10. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 2016 1ST AVE, SUMMERVILLE, SC, 29486-0408 (843) 432-3109 Google Maps Apple Maps OpenStreetMap
- Practice location 2016 1ST AVE, SUMMERVILLE, SC, 29486-0408 (843) 432-3109 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Pediatrics 363LP0200X · Primary · License 22035 SC
In this directory
SC Berkeley County Summerville Nurse Practitioner, Pediatrics
Locations and evidence
-
Practice location
SUMMERVILLE, SC, 294860408
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.