MS. KRISTI S ELLIS (NPI# 1063923910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063923910 |
| Entity Type | Individual |
| Full Name | MS. KRISTI S ELLIS |
| Credential | LMT |
| Practice Address |
15805 W Maple Rd Ste 106 Omaha NE 68116-8249 |
| Practice Telephone | 4025781023 |
| Mailing Telephone | 4025781023 |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2017-10-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 1452 | NE | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | MASSAGE THERAPY LICENSE | 1452 | 01 |
| Street Address |
15805 W MAPLE RD STE 106 |
| City | OMAHA |
| State | NE |
| Zip Code | 68116-8249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992311997 | Paul Hoppmann | Physical Therapist | 3537 N 162nd Ct, Omaha, NE 68116 | 2020-09-16 |
| 1972148112 | Smile Station Pediatric Dentistry, North LLC | Dentist | 4001 N 168th St, Omaha, NE 68116 | 2019-11-12 |
| 1912564212 | Vision Specialists of Omaha LLC | Optometrist | 3606 N 156th Street, Suite 104, Omaha, NE 68116 | 2019-05-22 |
| 1619450061 | Focus Therapy A West Omaha Counseling Practice | Counselor | 3520 N 163rd Plaza Suite 6, Omaha, NE 68116 | 2018-09-12 |
| 1952831570 | Adam Freeman | Chiropractor | 3605 North 147th Street, Suite 106, Omaha, NE 68116 | 2017-06-15 |
| 1407394042 | Chiropractic Group of Nebraska LLC | Chiropractor | 3727 N 153rd St, Omaha, NE 68116 | 2017-02-02 |
| 1992177083 | Emily Gunderson | Speech-Language Pathologist | 14850 Laurel Ave, Omaha, NE 68116 | 2015-10-28 |
| 1720478647 | Chelsea Hunter | Social Worker | 16101 Evans Street, Omaha, NE 68116 | 2015-01-30 |
| 1982988432 | Andrew Steve Huang-pacheco | Pediatrics | 3306 N 164th St, Omaha, NE 68116 | 2011-10-03 |
| 1073831996 | Mosaic | Intermediate Care Facility, Mentally Retarded | 2814 S 169 St, Omaha, NE 68116 | 2010-05-17 |
| Find all providers in zip 68116 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043829120 | Mary Ann Mcmichael | Massage Therapist | 12305 Gold St Ste 9, Omaha, NE 68144-2760 | 2020-07-24 |
| 1245854942 | Teri Lynn Hein | Massage Therapist | 11316 Davenport St, Omaha, NE 68154-2630 | 2020-05-29 |
| 1891318150 | Pure Massage, LLC | Massage Therapist | Pure Massage, LLC, 11316 Davenport St, Omaha, NE 68154 | 2020-05-21 |
| 1710528849 | Jimi Clyde Hughes | Massage Therapist | 11932 Arbor St Ste 100, Omaha, NE 68144-2986 | 2019-09-30 |
| 1861985012 | Mitch A Johnson | Massage Therapist | 1817 N 169th Plz Ste B, Omaha, NE 68118-2822 | 2018-06-12 |
| 1114438082 | Elizabeth Collette Mcguire | Massage Therapist | 1215 Leavenworth St, Omaha, NE 68102-3214 | 2017-10-19 |
| 1780121335 | Deborah Palmer | Massage Therapist | 2429 South 120th, Omaha, NE 68144 | 2017-01-20 |
| 1497103154 | Charla Jacob | Massage Therapist | 148 S 39th St, Omaha, NE 68131-3002 | 2016-06-02 |
| 1861848020 | Terry John Van Gelder | Massage Therapist | 1216 Howard St, Omaha, NE 68102-2819 | 2016-05-06 |
| 1487036281 | Jasmine Roberts | Massage Therapist | 7811 L St, 270, Omaha, NE 68127-1866 | 2015-06-29 |
| Find all providers in OMAHA | ||||
Please comment or provide details below to improve the information on MS. KRISTI S ELLIS.
| 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.