MRS. KELLY NICOLE ELLIS (NPI# 1194346759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194346759 |
| Entity Type | Individual |
| Full Name | MRS. KELLY NICOLE ELLIS |
| Credential | RN |
| Practice Address |
13819 County Road 1131 Flint TX 75762-2419 |
| Practice Telephone | 9039526368 |
| Mailing Telephone | 9039526368 |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2020-05-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 855575 | TX | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821615279 | Kelly Ellis | Nurse Practitioner | 585 S Union St, Sparta, MI 49345-1505 | 2020-07-01 |
| 1205455789 | Kelly Wynell Ellis | Physical Medicine & Rehabilitation | 5502 San Juan Dr, Toledo, OH 43612-3336 | 2020-04-14 |
| 1306348834 | Kelly Ellis | Chore Provider | 5033 Saint Annes Dr, Las Vegas, NV 89149-5717 | 2018-02-28 |
| 1104226109 | Kelly Ellis | Student in an Organized Health Care Education/Training Program | 9621 Fontainebleau Blvd, 515, Miami, FL 33172-6814 | 2014-08-26 |
| 1992014971 | Kelly Michelle Ellis | Technician, Pathology | 4230 Tree Moss Pl, Humble, TX 77346-4560 | 2010-09-24 |
| 1417189929 | Kelly Pinney Ellis | Counselor | 404 Broadway St, Suite B, South Haven, MI 49090-1421 | 2009-08-17 |
| 1922233246 | Kelly Abbott Ellis | Physical Therapist | 4953 Macaw Ct Ne, Marietta, GA 30066-1286 | 2009-05-17 |
| 1407941057 | Kelly Leigh Ellis | Family Medicine | 301 N 27th St Ste 2, Norfolk, NE 68701-4457 | 2006-10-03 |
| 1073548186 | Kelly Ann Ellis | Social Worker | 39760 Black Mesa Ln, Palm Desert, CA 92260 | 2006-07-11 |
| 1760778559 | Kelly Ellis | Occupational Therapy Assistant | 4109 Highway 98 W, Summit, MS 39666-9132 | 2011-06-21 |
| Street Address |
13819 COUNTY ROAD 1131 |
| City | FLINT |
| State | TX |
| Zip Code | 75762-2419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437647690 | Brandon Michael Gill | Registered Nurse | 19153 Honeysuckle Dr., Flint, TX 75762 | 2018-04-24 |
| 1023049715 | Michael Raymond Green | Pediatrics | 18104 County Road 134, Flint, TX 75762 | 2006-07-05 |
| 1548225261 | Lisa E. Allen | Family Medicine | 20208 Hwy 155 S, Flint, TX 75762 | 2006-04-18 |
| 1326018797 | Gary Babbitt | Family Medicine | 20208 Hwy 155, Flint, TX 75762 | 2006-01-26 |
| 1649269051 | Theodore Israel Gould | Emergency Medicine | 18118 County Road 344, Flint, TX 75762 | 2005-10-18 |
| 1740428028 | John G. Enloe, Dds, Pllc | Durable Medical Equipment & Medical Supplies | 17159 Fm 2493, Flint, TX 75762 | 2009-01-26 |
| 1669521795 | Air-o-tech Respiratory Care Services Inc. | Durable Medical Equipment & Medical Supplies | 10698 Fm 346 W, Suite #7, Flint, TX 75762-0271 | 2007-01-09 |
| 1881601078 | Excel Home Medical | Durable Medical Equipment & Medical Supplies | 11490 Fm 2868, Blg 2 Unit1, Flint, TX 75762-0298 | 2006-08-01 |
| 1831690247 | Liliana Carina Rodriguez | Registered Nurse | 13376 County Road 1131, Flint, TX 75762-2417 | 2018-02-22 |
| 1679198691 | Amber Marlena Denson | Registered Nurse | 17191 County Road 1108, Flint, TX 75762-2630 | 2020-06-15 |
| Find all providers in zip 75762 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508470501 | Maria Magdalena Tabares | Registered Nurse | 16832 Hillside Dr, Flint, TX 75762-9380 | 2020-09-07 |
| 1679198691 | Amber Marlena Denson | Registered Nurse | 17191 County Road 1108, Flint, TX 75762-2630 | 2020-06-15 |
| 1790244861 | Melissa Pilon | Registered Nurse | 538 Sorrel Dr, Flint, MI 48506-4593 | 2019-03-18 |
| 1427528926 | Makesha Deann Glenn | Registered Nurse | 15081 Brookstone Dr, Flint, TX 75762-2717 | 2018-11-28 |
| 1588142475 | Y Huynnhu Chau | Registered Nurse | 10735 County Road 169, Flint, TX 75762-9413 | 2018-08-01 |
| 1437647690 | Brandon Michael Gill | Registered Nurse | 19153 Honeysuckle Dr., Flint, TX 75762 | 2018-04-24 |
| 1831690247 | Liliana Carina Rodriguez | Registered Nurse | 13376 County Road 1131, Flint, TX 75762-2417 | 2018-02-22 |
| 1235643487 | Sandra Florida | Registered Nurse | 1057 E Coldwater Rd, Flint, MI 48505-1501 | 2017-11-27 |
| 1356861363 | Irma Jean Stewart | Registered Nurse | 5501 Sugar Bush Ln, Flint, MI 48532-2240 | 2017-06-21 |
| 1235664103 | Kay Troutman | Registered Nurse | 1933 Lincoln Dr, Flint, MI 48503-4718 | 2017-04-27 |
| Find all providers in FLINT | ||||
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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.