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Deactivated NPI 1598089427 Deactivated / Inactive NPI Female Practitioner

Ella Edge

Licensed Practical Nurse • Bartow, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Ella Edge has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 22, 2010
NPI Deactivation Date February 05, 2026
Total Practice Duration ~16 Years of Practice (2010 – 2026)

Professional Overview & Biography Verified Profile Summary

Ella Edge was a registered Licensed Practical Nurse practicing in Bartow, FL. Throughout an active medical career spanning 16 years, Ella Edge provided care at the practice location at 1255 GOLFVIEW AVE until profile deactivation on 2026-02-05.

Practice Location & Contact Primary Location

Practice Address

1255 Golfview Ave

Bartow, FL 338306736

Telephone 8635190575
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Bartow, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 3.0 Yrs
Regional Practice Density
19 Specialists

Practicing in Bartow, FL (1995 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License FL PN373161

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Kimberly Mangus

Registered Nurse

NPI 1003213810
Imprice Johnson , RN

Registered Nurse

NPI 1003351800

Registered Nurse

Michelle David

Community Health Worker

NPI 1003382185
Edda Colon Aviles

Case Manager/Care Coordinator

NPI 1003441841
Sherry Ross Williams

Community Health Worker

NPI 1003443979
Jessica Little , LMHC

Counselor - Mental Health

NPI 1013233998

Licensed Mental Health Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 05, 2026

Record deactivated on February 05, 2026

NPI Profile Active March 22, 2010

NPI status registered as active in NPPES database

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Updated Practice Location March 22, 2010

Registered at 1255 GOLFVIEW AVE, BARTOW, FL 338306736 (Tel: 8635190575)

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Updated Business Mailing Address March 22, 2010

Registered at PO BOX 1559, BARTOW, FL 338311559 (Tel: 8635190575)

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Provider Name / Credentials Updated March 22, 2010

Recorded as ELLA EDGE

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2010

Licensed Practical Nurse (License #PN373161 in FL)

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Initial NPI Registration & Enumeration March 22, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1598089427
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 22, 2010
Last Update: March 22, 2010
Deactivation Date: February 05, 2026

Mailing Address

Po Box 1559

Bartow, FL 338311559

Phone: 8635190575

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.