DR. BRANDY GRACE ELLIS (NPI# 1528109220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528109220 |
| Entity Type | Individual |
| Full Name | DR. BRANDY GRACE ELLIS |
| Credential | PH.D. |
| Practice Address |
4101 S. 4th Street Trafficway Leavenworth KS 66048 |
| Practice Telephone | 9136822000 |
| Mailing Telephone | 9136822000 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033625801 | Brandy J Ellis | Nurse Practitioner | 333 Missouri Way, Travis Afb, CA 94535-1200 | 2017-12-15 |
| Street Address |
4101 S. 4TH STREET TRAFFICWAY |
| City | LEAVENWORTH |
| State | KS |
| Zip Code | 66048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740294735 | Hung The Ngo Sr. | Pharmacist | 4101 S. 4th Street Trafficway, Dwight D Eisenhower Medical Center, Leavenworth, KS 66048-9951 | 2006-07-28 |
| 1346405750 | Molly Litvin | Internal Medicine | 4101 S. 4th Street Trafficway, Leavenworth, KS 66048-5055 | 2008-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023653854 | Dawn Rishelle Hudson | Registered Nurse | 711 Marshall St., Leavenworth, KS 66048 | 2019-11-15 |
| 1427606706 | Nathan A Laskowski | Dentist | 3507 S 4th St. Trafficway, Leavenworth, KS 66048 | 2019-08-29 |
| 1386100220 | Aligned Health Chiropractic, LLC | Chiropractor | 402 Delware Street, Leavenworth, KS 66048 | 2019-02-15 |
| 1255805917 | Jordan Rachelle Kloepper | Chiropractor | 402 Delaware Street, Leavenworth, KS 66048 | 2019-01-16 |
| 1851862270 | Sarah Jane Wallace | Nurse Practitioner | Saint John Urgent Care, 3550 S 4th St, Ste B, Leavenworth, KS 66048 | 2018-12-11 |
| 1194222034 | Christie Ann Nelson | Psychologist | 4101 4th Street Trafficway, Leavenworth, KS 66048 | 2018-04-08 |
| 1558865782 | Sunflower Counseling Center LLC | Clinic/Center | 205 S 5th St Ste 15, Leavenworth, KS 66048 | 2018-03-21 |
| 1578062824 | Insoon G Hoagland | Marriage & Family Therapist | 205 S 5th St Ste 20, Leavenworth, KS 66048 | 2018-02-01 |
| 1467804542 | Raechel Marie Mackey | Nurse Practitioner | 4101 S 4th St Bldg 160, Leavenworth, KS 66048 | 2016-07-12 |
| 1073969598 | Kristen Simpson | Chiropractor | 211-b Delaware Street, Leavenworth, KS 66048 | 2016-05-13 |
| Find all providers in zip 66048 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841816253 | Katherine C Jorgenson | Psychologist | 722 S Broadway St, Leavenworth, KS 66048-2530 | 2020-06-22 |
| 1932190709 | Rebecca Lynn Moberly | Psychologist | 4101 South 4th Street Trafficway, Women's Health Center, Leavenworth, KS 66048-5104 | 2005-11-02 |
| 1588029011 | Allena Theis | Psychologist | 500 Limit St, Leavenworth, KS 66048-4435 | 2015-12-29 |
| 1356520670 | Alicia Marie Wendler | Psychologist | 4101 S 4th St Trafficway, L-116-atp, Leavenworth, KS 66048-5014 | 2007-11-02 |
| 1508890880 | Lyman Thair Rate | Psychologist | 4101 South 4th Street Trafficway, Leavenworth, KS 66048 | 2006-07-10 |
| 1467499368 | Chalisa Danyelle Gadt-johnson | Psychologist | 4101 S 4th St, Leavenworth, KS 66048-5014 | 2006-05-31 |
| 1427003276 | Paul Chadwick Neal | Psychologist | 4101 S 4th St, Leavenworth, KS 66048-5014 | 2006-05-23 |
| 1023061835 | Paula L. Timmons | Psychologist | 4101 S 4th St, Leavenworth, KS 66048-5014 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881258507 | Chassidy Lee Bryan | Psychologist | 2518 Ridge Ct Ste 103, Lawrence, KS 66046-4089 | 2019-04-29 |
| 1255823001 | Tara Jarrett | Psychologist | 2200 Sw Gage Blvd., Topeka, KS 66622 | 2018-06-06 |
| 1164928925 | Sarah M Rogers | Psychologist | 6606 W Central Ave, Wichita, KS 67212-3315 | 2018-04-02 |
| 1063803971 | Sarah A. Christensen, Phd, LLC | Psychologist | 4601 College Blvd Ste 275, Leawood, KS 66211-1678 | 2015-02-13 |
| 1700204930 | Robert Pedroza | Psychologist | 5100 Quivira Rd, Shawnee, KS 66216-1349 | 2014-04-04 |
| 1356685283 | Darwin L Eads | Psychologist | 1508 N Ridgehurst St, Wichita, KS 67230-7259 | 2012-11-15 |
| 1003192881 | Ashley Heintzelman Wiedenmeyer | Psychologist | 7507 Sagamore Rd, Prairie Village, KS 66208-3613 | 2011-10-25 |
| 1114231651 | Timothy John White | Psychologist | 532 Meadowlark Ln, Newton, KS 67114-5602 | 2010-07-26 |
| 1538308085 | Michael Lynch Maestas | Psychologist | 1200 Schwegler Drive, Room 2100, Counseling and Psychological Services, Lawrence, KS 66045-7559 | 2009-02-06 |
| 1447438395 | Tammie Diane Milner | Psychologist | 1931 W Country Lakes St, Haysville, KS 67060-5601 | 2008-02-02 |
| Find all providers with the same taxonomy | ||||
| City | LEAVENWORTH |
| Zip Code | 66048 |
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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.