DUSTIN SMITH ELLIS (NPI# 1306002860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306002860 |
| Entity Type | Individual |
| Full Name | DUSTIN SMITH ELLIS |
| Practice Address |
500 Wilson Pike Cir Suite 320 Brentwood TN 37027-5252 |
| Practice Telephone | 6153760034 |
| Practice Fax Number | 6153763488 |
| Mailing Telephone | 6153760034 |
| Mailing Fax Number | 6153763488 |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2008-08-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962658989 | Dustin Clay Ellis | Family Medicine | 2186 N Hospital Blvd Ste 2, Sullivan, IN 47882-7654 | 2008-08-11 |
| Street Address |
500 WILSON PIKE CIR SUITE 320 |
| City | BRENTWOOD |
| State | TN |
| Zip Code | 37027-5252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710103734 | Elaine Weller Dodd | Pharmacist | 500 Wilson Pike Cir, Suite 115, Brentwood, TN 37027-5252 | 2007-04-18 |
| 1669764858 | Johanna Marie Lee | Behavioral Analyst | 500 Wilson Pike Cir, Ste 320, Brentwood, TN 37027-5252 | 2011-05-06 |
| 1194023176 | Michael Lapaglia | Behavioral Analyst | 500 Wilson Pike Cir, 320, Brentwood, TN 37027-5252 | 2011-03-01 |
| 1568783827 | Ryan Fletcher | Behavioral Analyst | 500 Wilson Pike Cir, Suite 320, Brentwood, TN 37027-5252 | 2010-06-21 |
| 1336374982 | Casey Bateman | Behavioral Analyst | 500 Wilson Pike Cir, Suite 320, Brentwood, TN 37027-5252 | 2009-05-27 |
| 1770732174 | Felicia Kaye Burk | Counselor | 500 Wilson Pike Cir, Suite 320, Brentwood, TN 37027-5252 | 2008-09-10 |
| 1518113497 | Kimberly Me'chelle Milliken | Developmental Therapist | 500 Wilson Pike Cir, Suite 320, Brentwood, TN 37027-5252 | 2008-08-12 |
| 1427213735 | Christina Kathleen Mcmillian | Case Manager/Care Coordinator | 500 Wilson Pike Cir, Suite 320, Brentwood, TN 37027-5252 | 2008-07-25 |
| 1134384449 | Victoria Elliot Counts | Case Manager/Care Coordinator | 500 Wilson Pike Cir, Suite 320, Brentwood, TN 37027-5252 | 2008-07-25 |
| 1871710590 | Victoria M. Maslyn | Pharmacist | 500 Wilson Pike Cir, Suite 115, Brentwood, TN 37027-5252 | 2007-04-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154932762 | Amber Schalk | Behavioral Analyst | 333 Franklin Road Suite 135a-142, Brentwood, TN 37027 | 2020-08-17 |
| 1639795578 | Melissa Weitekamp | Counselor | 246 Wilson Pike Circle, Brentwood, TN 37027 | 2020-06-16 |
| 1528605979 | John David Murphy | Marriage & Family Therapist | 103 Continental Pl. Suite 120, Brentwood, TN 37027 | 2019-12-04 |
| 1548828130 | Hannah Dawn Harden | Counselor | 1604 Westgate Circle, Suite 220, Brentwood, TN 37027 | 2019-05-30 |
| 1790348142 | The Plastic Surgery Center Brentwood | Clinic/Center | 620 Church Street East, Brentwood, TN 37027 | 2019-04-20 |
| 1356803712 | Justin Kade Ellis | Dentist | 343 Franklin Rd Ste 103, Brentwood, TN 37027 | 2019-04-04 |
| 1073098190 | Harrison Roulaine Hall | Physical Therapist | 823 Woodburn Dr, Brentwood, TN 37027 | 2018-09-25 |
| 1275020273 | Merakey Allos | Home Health Aide | 5110 Maryland Way Ste 320, Brentwood, TN 37027 | 2018-04-16 |
| 1255836557 | Eleah Hyatt | Marriage & Family Therapist | 761 Old Hickory Blvd, Suite 101, Brentwood, TN 37027 | 2018-03-28 |
| 1386168607 | Brentwood Endodontics LLC | Dentist | 5111 Maryland Way Suite 209, Brentwood, TN 37027 | 2017-07-28 |
| Find all providers in zip 37027 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538674635 | Rebecca Rapier | Case Manager/Care Coordinator | 432 Apple Hill Dr, Brentwood, CA 94513-2693 | 2017-12-12 |
| 1194191833 | Alexandra Buntin | Case Manager/Care Coordinator | 9144 Carissa Dr, Brentwood, TN 37027-8848 | 2015-08-17 |
| 1598153249 | Rosemary Nunez | Case Manager/Care Coordinator | 50 Heyward St, Brentwood, NY 11717-1932 | 2015-01-05 |
| 1548697899 | Ana M Nunez | Case Manager/Care Coordinator | 154 Mcnair St, Brentwood, NY 11717-3409 | 2013-10-02 |
| 1154563484 | J Fox Development, LLC | Case Manager/Care Coordinator | 8119 Isabella Ln, Suite 100, Brentwood, TN 37027-8173 | 2009-04-01 |
| 1104469451 | Dunderty Enterprise LLC | Case Manager/Care Coordinator | 119 Thomas St, Brentwood, NY 11717-1218 | 2019-10-18 |
| 1891232559 | Odel Burke | Case Manager/Care Coordinator | 998 Crooked Hill Rd, Brentwood, NY 11717-1019 | 2017-01-19 |
| 1801269980 | Gary Gumbs | Case Manager/Care Coordinator | 998 Crooked Hill Rd, Brentwood, NY 11717-1019 | 2015-11-11 |
| 1912246547 | Charles Hochbaum | Case Manager/Care Coordinator | 998 Crooked Hill Road, Brentwood, NY 11717 | 2013-02-01 |
| 1033457478 | Galal Y Alzokm | Case Manager/Care Coordinator | 998 Crooked Hill Rd, Bldg.69, 2nd Floor, Brentwood, NY 11717-1019 | 2013-01-18 |
| Find all providers in BRENTWOOD | ||||
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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.