MELISSA ELLIS (NPI# 1053878611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053878611 |
| Entity Type | Individual |
| Full Name | MELISSA ELLIS |
| Credential | PMHNP |
| Practice Address |
201 Greenbrier Blvd Covington LA 70433-7236 |
| Mailing Address |
41452 Bess Rd Prairieville LA 70769-5700 |
| Practice Telephone | 9858932790 |
| Enumeration Date | 2019-03-01 |
| Last Update Date | 2019-03-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
204049 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932614625 | Melissa M Ellis | Massage Therapist | 2619 Saint Johns Ave Ste F, Billings, MT 59102-4690 | 2017-12-05 |
| 1851800460 | Melissa Ellis | Registered Nurse | 91 Scribner Rd, Tyngsboro, MA 01879-2378 | 2017-09-26 |
| 1881845840 | Melissa Marie Ellis | Chiropractor | 1655 Mansell Rd, Suite 130, Alpharetta, GA 30009-4850 | 2008-10-08 |
| 1023619376 | Melissa J Ellis | Technician | 3975 W Quail Ave Ste 10, Las Vegas, NV 89118-3002 | 2020-11-03 |
| 1679185268 | Melissa Ellis | Technician | 281 Maple Ave, Oak Hill, WV 25901-3475 | 2020-08-17 |
| 1316508401 | Melissa Roseanna Ellis | Technician | 1127 Emerald Stone Ave, North Las Vegas, NV 89081-3032 | 2019-06-28 |
| 1578073722 | Melissa L Ellis | Case Manager/Care Coordinator | 207 N Hwy 59, Kansas, OK 74347-0000 | 2017-10-02 |
| 1013435205 | Melissa Ann Ellis | Nurse Practitioner | 712 N Washington Ave Ste 415, Dallas, TX 75246 | 2017-09-07 |
| 1255702189 | Melissa Ellis | Dietitian, Registered | 1003 Willow Creek Rd, Prescott, AZ 86314 | 2015-10-19 |
| 1033518873 | Melissa Ellis | Case Manager/Care Coordinator | 2109 S Highway 69, Wagoner, OK 74467 | 2014-08-18 |
| Street Address |
201 GREENBRIER BLVD |
| City | COVINGTON |
| State | LA |
| Zip Code | 70433-7236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386891372 | Atnena Leann Luster | Nurse Practitioner | 201 Greenbrier Blvd, Covington, LA 70433-7236 | 2008-08-21 |
| 1962025684 | Robert Richard Fezekas II | Counselor | 201 Greenbrier Blvd, Covington, LA 70433-7236 | 2020-05-28 |
| 1750915310 | Jennifer Lane Dufriend | Nurse Practitioner | 201 Greenbrier Blvd, Covington, LA 70433-7236 | 2020-02-23 |
| 1255811659 | Lagniappe Medical Services | Internal Medicine | 201 Greenbrier Blvd, Covington, LA 70433-7236 | 2018-08-16 |
| 1881117794 | 5xy Healthcare | Nurse Practitioner | 201 Greenbrier Blvd, Covington, LA 70433-7236 | 2017-07-23 |
| 1457754848 | Staci Pitarro | Nurse Practitioner | 201 Greenbrier Blvd, Covington, LA 70433-7236 | 2014-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790301018 | Caroline K. Wilson | Speech-Language Pathologist | 19105 Sandy Lane Suite A, Covington, LA 70433 | 2020-06-23 |
| 1568092013 | Tracy T Aljabi | Nurse Practitioner | 648 Crestwood Dr., Covington, LA 70433 | 2020-01-23 |
| 1093365462 | Maria Robert Hebrock | Marriage & Family Therapist | 71338 La-21, Suite 101, Covington, LA 70433 | 2019-09-17 |
| 1750930806 | Terry Fink Troxler | Speech-Language Pathologist | 521 Covington Point Dr, Covington, LA 70433 | 2019-09-10 |
| 1780231589 | Margaret Nordness Favre | Behavioral Analyst | 3999 Us-190, Covington, LA 70433 | 2019-08-26 |
| 1881241180 | Jennifer Ann Bacile | Counselor | 604 E 15th Street, Covington, LA 70433 | 2019-08-21 |
| 1356906689 | Moving and Caring Transportation LLC | Non-emergency Medical Transport (VAN) | 251 Vintage Drive, Covington, LA 70433 | 2019-05-02 |
| 1780153874 | Nga Endoscopy Center LLC | Clinic/Center | 7015 Hwy 190 E Service Road Suite 103, Covington, LA 70433 | 2018-11-19 |
| 1831667229 | Geauxprodme | Durable Medical Equipment & Medical Supplies | 1304 Champagne Street, Covington, LA 70433 | 2018-11-05 |
| 1376037994 | Pamela Ann Bernabo | Specialist/Technologist, Other | 80 Maison Drive, Covington, LA 70433 | 2018-06-18 |
| Find all providers in zip 70433 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578953139 | Kela Spikes Bickham | Nurse Practitioner | 112 Innwood Dr Ste H, Covington, LA 70433-9134 | 2015-02-03 |
| 1689933236 | Kelly Ann Robinson | Nurse Practitioner | 70372 5th St, Covington, LA 70433-5423 | 2012-05-16 |
| 1144839457 | George Andrew Darling | Nurse Practitioner | 513 Madison Ave, Covington, KY 41011-1505 | 2020-07-23 |
| 1750915310 | Jennifer Lane Dufriend | Nurse Practitioner | 201 Greenbrier Blvd, Covington, LA 70433-7236 | 2020-02-23 |
| 1912550526 | Justin Branham | Nurse Practitioner | 1401 Madison Ave, Covington, KY 41011-3313 | 2019-07-23 |
| 1740633221 | Kylie Eckert | Nurse Practitioner | 513 Madison Ave, Covington, KY 41011-1562 | 2016-07-19 |
| 1669856514 | Reviving Minds LLC | Nurse Practitioner | 112 Innwood Dr Ste H, Covington, LA 70433-9134 | 2015-07-09 |
| 1396149951 | Sarah Dietrich | Nurse Practitioner | 1997 Highway 51 S, Covington, TN 38019-3630 | 2014-10-10 |
| 1487919353 | Living Wellness LLC | Nurse Practitioner | 70372 5th St, Covington, LA 70433-5423 | 2012-07-06 |
| 1265790380 | Celeste Marie Lewis | Nurse Practitioner | 201 Holiday Blvd, Suite 120, Covington, LA 70433-5088 | 2012-04-26 |
| Find all providers in COVINGTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.