JENNIFER JAN ELLIS


Address: 2699 Lee Rd, Suite 100, Winter Park, FL 32789-1753
Phone: 4078971363

JENNIFER JAN ELLIS (NPI# 1528341831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528341831
Entity Type Individual
Full Name JENNIFER JAN ELLIS
Other Name JENNIFER JAN NAUMAN
Credential ATC
Practice Address 2699 Lee Rd
Suite 100
Winter Park
FL 32789-1753
Mailing Address 1340 Lake Rogers Cir
Oviedo
FL 32765-7217
Practice Telephone 4078971363
Mailing Telephone 4078971363
Enumeration Date 2011-09-22
Last Update Date 2011-09-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
AL 1049 FL Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers JENNIFER ELLIS

NPI Name Taxonomy Address Enumeration
1487157277 Jennifer Ellis Nurse Practitioner 16101 Ventura Blvd Ste 333, Encino, CA 91436-2516 2018-03-17
1609286194 Jennifer Ellis Clinic/Center 208 Oriole St., Harrisonville, MO 64701-0000 2014-05-06
1376986745 Jennifer Shermaine Ellis Counselor 273 S 118th East Ave, Tulsa, OK 74128-2224 2013-04-16
1316212913 Jennifer M Ellis Counselor 1816 W Point Pike Ste 209, Lansdale, PA 19446-5696 2012-03-14
1639457997 Jennifer Lynne Ellis Pharmacist 333 Westfield St, Silverton, OR 97381-1936 2011-08-03
1851683775 Jennifer Ellis Massage Therapist 180 S Cherry St, Suite F, Monticello, FL 32344-1929 2011-05-11
1609180819 Jennifer Jeanne Ellis Counselor 7745 Jonagold Dr Se, Grand Rapids, MI 49508-7602 2010-07-29
1952577603 Jennifer Ellis Social Worker 3800 University Ave, Columbus, GA 31907-5609 2008-05-02
1972702819 Jennifer Lowe Ellis Preventive Medicine 1539 Ashland City Rd Ste C, Clarksville, TN 37040-6416 2007-07-12
1083839492 Jennifer Ellis Pharmacist 6111 Ferguson Rd, Oskaloosa, KS 66066-5388 2007-04-13

Office Location

Street Address 2699 LEE RD
SUITE 100
City WINTER PARK
State FL
Zip Code 32789-1753

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659368710 Michael J Demchak Chiropractor 2699 Lee Rd, Suite 505, Winter Park, FL 32789-1753 2005-10-04
1427418623 Medihealth, LLC Family Medicine 2699 Lee Rd, Suite 315, Winter Park, FL 32789-1753 2016-03-01
1609122092 Tactical Management Inc. Supports Brokerage 2699 Lee Rd, Suite 304, Winter Park, FL 32789-1753 2012-08-03
1003171331 Renetta J Gibson Nurse Anesthetist, Certified Registered 2699 Lee Rd, Ste #510, Winter Park, FL 32789-1753 2012-07-12
1245508134 Denver Bullard IIi Nurse Anesthetist, Certified Registered 2699 Lee Rd, Suite 510, Winter Park, FL 32789-1753 2011-12-06
1881988491 Cori Nicole Sabir Nurse Anesthetist, Certified Registered 2699 Lee Rd, Suite 510, Winter Park, FL 32789-1753 2011-06-01
1538489778 Richard Stanley Thomas Nurse Anesthetist, Certified Registered 2699 Lee Rd, Suite 510, Winter Park, FL 32789-1753 2010-06-10
1982923033 Kimberly To Nurse Anesthetist, Certified Registered 2699 Lee Rd, Suite 510, Winter Park, FL 32789-1753 2010-05-27
1326367939 Kimberly Warren Nurse Anesthetist, Certified Registered 2699 Lee Rd, Suite 510, Winter Park, FL 32789-1753 2010-05-21
1215256854 Tondalaya Booker Nurse Anesthetist, Certified Registered 2699 Lee Rd, Suite 510, Winter Park, FL 32789-1753 2010-05-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417590894 Elisabeth Catherine Williams Speech-Language Pathologist 1311 Minnesota Ave, Suite C, Winter Park, FL 32789 2019-10-18
1295213692 Ruth Stern Counselor 1177 Louisiana Ave. Ste 214, Winter Park, FL 32789 2018-07-30
1083128961 Total Care Home Services of Usa, Corp. In Home Supportive Care 1936 Lee Rd Ste 120a, Winter Park, FL 32789 2017-11-30
1346753670 Hand In Hand Home Care Solutions, LLC Nursing Care 2233 Lee Rd, Ste 209, Winter Park, FL 32789 2017-11-08
1932621877 Alexandra Nichole Paden Homemaker 941 W. Morse Blvd. #100, Winter Park, FL 32789 2017-07-12
1093258048 Embracing Balance Counseling Solutions, LLC Community/Behavioral Health 320 Grove Avenue, Winter Park, FL 32789 2016-11-23
1083163968 Interra Health Inc. Clinic/Center 600 N Virginia Ave, Winter Park, FL 32789 2016-10-03
1952850943 Lena Partynska Dinh Physical Therapist 1311 Minnesota Avenue, Suite C, Winter Park, FL 32789 2016-10-01
1003363573 Meagin Knight Stephenson Occupational Therapist 1850 Lee Road #134, Lee World Center, Winter Park, FL 32789 2016-09-01
1093261679 Bronte Green Physical Therapist 811 South Orlando Ave, #h Cora Rehab, Winter Park, FL 32789 2016-09-01
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Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134775612 Stephen Louis Griggs Specialist/Technologist 1560 Orange Ave, Winter Park, FL 32789-5540 2019-08-12
1831620806 Caitlyn Weber Specialist/Technologist 4311 Long Key Lane, Winter Park, FL 32792 2017-03-22
1669862900 Thomas Ryan Coupart Specialist/Technologist 1701 Lee Rd, Apt O-463, Winter Park, FL 32789-2161 2015-01-26
1821406133 Matthew Felix Carlson Specialist/Technologist Rollins College, 1000 Holt Ave-2730, Winter Park, FL 32789 2014-07-30
1760727051 Lindsie Nicole Barrett Specialist/Technologist 4200 Dike Rd, Winter Park, FL 32792-6399 2012-11-28
1245672294 Courtney Lynn Ivan Specialist/Technologist 2699 Lee Rd Ste 100, Winter Park, FL 32789-1738 2013-07-18
1134407620 Reinaldo Jose Malave Specialist/Technologist 811 S Orlando Ave, Suite H, Winter Park, FL 32789-7102 2011-08-01
1598088957 Julie Marie Staney Specialist/Technologist 2699 Lee Rd, #100, Winter Park, FL 32789-1753 2010-03-12
1013121706 Paul A. Giannotti Specialist/Technologist 1000 Holt Ave, Box 2730, Winter Park, FL 32789-4499 2007-05-10
1912012386 Brian Andrew Friscia Specialist/Technologist 1000 Holt Ave, Winter Park, FL 32789-4499 2006-08-19
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Competitor

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City WINTER PARK
Zip Code 32789

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Dataset Information

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.

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