=====================================================
General NPI Number Information
=====================================================
NPI Number | 1912642117
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ELLYN LINDSEY BELLINGER FNP-C
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/02/2022
-----------------------------------------------------
Last Update Date | 06/26/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3201 S AUSTIN AVE STE 265
-----------------------------------------------------
City | GEORGETOWN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78626-7641
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 855-876-7246
-----------------------------------------------------
Fax | 855-277-5070
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 208357
-----------------------------------------------------
City | DALLAS
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75320-8357
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 512-485-7208
-----------------------------------------------------
Fax | 737-304-0942
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 1074001
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------