JESSICA ELLIS (NPI# 1306251004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306251004 |
| Entity Type | Individual |
| Full Name | JESSICA ELLIS |
| Credential | PA |
| Practice Address |
5102 W Campbell Ave Phoenix AZ 85031-1703 |
| Mailing Address |
11956 W Chase Ln Avondale AZ 85323-7709 |
| Practice Telephone | 6023445111 |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2019-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5722 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568081081 | Jessica Ann Ellis | Registered Nurse | 3910 Ashwood Dr, Pearland, TX 77584-9200 | 2020-04-14 |
| 1003289950 | Jessica Lynn Ellis | Licensed Practical Nurse | 414 Linden Pl, Elmira, NY 14901-1622 | 2015-11-01 |
| 1851775704 | Jessica Ellis | Counselor | 2132 S 12th St Ste 103, Allentown, PA 18103-4814 | 2015-07-09 |
| 1356529358 | Jessica Erin Ellis | Registered Nurse | 500 Bethany Woods Dr, Temple, GA 30179-3574 | 2008-02-01 |
| 1114487188 | Jessica Marie Ellis | Counselor | 1450 Madison Ave, Covington, KY 41011-3369 | 2019-03-25 |
| 1407348295 | Jessica Ellis | Behavior Technician | 5304 Hollyridge St, North Las Vegas, NV 89081-4000 | 2018-06-06 |
| 1255849832 | Jessica Ellis | Registered Nurse | 2850 S Industrial Hwy, Ann Arbor, MI 48104-6796 | 2018-01-17 |
| 1124571690 | Jessica Ellis | Speech-Language Pathologist | 105 S Ridgecrest Ave, Nixa, MO 65714-7807 | 2016-08-01 |
| 1962850800 | Jessica J Ellis | Dental Hygienist | 228 Beeman Pl, Us Army Dental Activity, Ft Riley, KS 66442-7009 | 2016-06-01 |
| 1851768907 | Jessica Ellis | Pharmacist | 322 Brownsville Loop, Lonoke, AR 72086-9348 | 2015-08-25 |
| Street Address |
5102 W CAMPBELL AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85031-1703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356332084 | Gregory L Bandy | Emergency Medicine | 5102 W Campbell Ave, Phoenix, AZ 85031-1703 | 2005-11-02 |
| 1669936472 | Maricopa County Special Health Care District | Pharmacy | 5102 W Campbell Ave, Phoenix, AZ 85031-1703 | 2019-01-25 |
| 1710489034 | Nicole M Davis | Nurse Practitioner | 5102 W Campbell Ave, Phoenix, AZ 85031-1703 | 2018-03-02 |
| 1205344066 | Pai-han Arthur Yeh | Nurse Practitioner | 5102 W Campbell Ave, Phoenix, AZ 85031-1703 | 2018-01-15 |
| 1568997757 | Casey Anna Fuller | Registered Nurse | 5102 W Campbell Ave, Phoenix, AZ 85031-1703 | 2017-04-25 |
| 1083156319 | Amanda Horton | Nurse Practitioner | 5102 W Campbell Ave, Phoenix, AZ 85031-1703 | 2016-11-17 |
| 1417301490 | Chad Van Pelt | Psychiatry & Neurology | 5102 W Campbell Ave, Phoenix, AZ 85031-1703 | 2016-04-15 |
| 1962856088 | Jacob Demenna | Psychiatry & Neurology | 5102 W Campbell Ave, Phoenix, AZ 85031-1703 | 2016-04-14 |
| 1346603578 | Michelle Vita Sipe | Psychiatry & Neurology | 5102 W Campbell Ave, Phoenix, AZ 85031-1703 | 2016-04-04 |
| 1164817854 | Zhi Yuan Wu | Psychiatry & Neurology | 5102 W Campbell Ave, Phoenix, AZ 85031-1703 | 2015-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508256629 | Jessica Watson | Physical Therapy Assistant | 4110 N 108th Ave, Suite 103, Phoenix, AZ 85031 | 2015-01-27 |
| 1043518707 | Lisette V Hill | Nurse Practitioner | 3802 N 53rd Avenue, Suite 160, Phoenix, AZ 85031 | 2011-03-04 |
| 1760785778 | Unlimited Smiles | Dentist | 4805 West Thomas, Suite #a, Phoenix, AZ 85031 | 2010-12-13 |
| 1043526817 | Atul J Amin | Pharmacist | 5102 W Indian School Rd (walgreens), Phoenix, AZ 85031 | 2010-08-31 |
| 1396064663 | Akdhc, LLC | Internal Medicine | 4524 N Maryvale Parkway, Akdhc, LLC - Maryvale, Ste 160, Phoenix, AZ 85031 | 2010-05-25 |
| 1629397583 | Scott Anthony Effinger | Pharmacist | 4616 N. 51st Avenue, Suite 203, Phoenix, AZ 85031 | 2010-05-18 |
| 1912237397 | Albert Potter | Counselor | 5043 W. Campbell Ave., Phoenix, AZ 85031 | 2010-01-06 |
| 1649434887 | Mahmoud Azmi Mahafzah | Internal Medicine | 5251 W Campbell Ave Ste 204, Phoenix, AZ 85031 | 2008-07-16 |
| 1427253335 | Evelyn Tan Omana-roldan | Family Medicine | 4700 N. 51st Avenue, Suite 1, Phoenix, AZ 85031 | 2007-06-19 |
| 1255416103 | Chicanos Por La Causa Inc | Clinic/Center | 4602 W. Indian School Rd., Cplc Centro De La Familia, Phoenix, AZ 85031 | 2006-10-26 |
| Find all providers in zip 85031 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407456585 | Chelsea Lee Townsend | Physician Assistant | 6823 S 9th Ave, Phoenix, AZ 85041-6752 | 2020-10-28 |
| 1972100949 | Amanda Alcantar | Physician Assistant | 8822 W Minnezona Ave, Phoenix, AZ 85037-1499 | 2020-10-02 |
| 1700483898 | Athena Marie Arbuckle | Physician Assistant | 3815 E Bell Rd Ste 3600, Phoenix, AZ 85032-2166 | 2020-10-02 |
| 1356957062 | Kylee Ann Lattomus | Physician Assistant | 26008 N 47th Dr, Phoenix, AZ 85083-1681 | 2020-09-17 |
| 1841801768 | Pfai Assist, Pllc | Physician Assistant | 10645 N Tatum Blvd Ste 200-556, Phoenix, AZ 85028-3068 | 2020-08-13 |
| 1285242479 | Jacob Molina | Physician Assistant | 15820 N 21st Dr, Phoenix, AZ 85023-7268 | 2020-07-14 |
| 1649898602 | Rivi Rose Sacks | Physician Assistant | 776 E Circle Rd, Phoenix, AZ 85020-4142 | 2020-07-07 |
| 1942828876 | Taylor Leblanc | Physician Assistant | 2150 W Alameda Rd Unit 1343, Phoenix, AZ 85085-1941 | 2020-07-07 |
| 1730707746 | Emily Jane Foley | Physician Assistant | 4650 N Central Ave Unit 241, Phoenix, AZ 85012-1076 | 2020-07-07 |
| 1841815230 | Alyssa Nicole Bruns | Physician Assistant | 4217 E Altadena Ave, Phoenix, AZ 85028-2232 | 2020-06-10 |
| Find all providers in PHOENIX | ||||
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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.