AMANDA D ELLIS


Address: 3841 Piper St Ste T100, Anchorage, AK 99508-4674
Phone: 9075613211

AMANDA D ELLIS (NPI# 1568070654) 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) 1568070654
Entity Type Individual
Full Name AMANDA D ELLIS
Other Name MANDY ELLIS
Credential APRN
Practice Address 3841 Piper St Ste T100
Anchorage
AK 99508-4674
Practice Telephone 9075613211
Mailing Telephone 9075502233
Enumeration Date 2020-07-15
Last Update Date 2020-08-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
158829 AK Physician Assistants & Advanced Practice Nursing Providers

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1194198697 Amanda Ellis Residential Treatment Facility, Physical Disabilities 381 East Brook Street, San Tan Valley, AZ 85140 2015-11-05
1336795327 Amanda Nicole Ellis Counselor 128 N 2nd St Ste 202, Clarksville, TN 37040-6460 2019-08-15
1316508930 Amanda Ellis Behavior Technician 300 Saint Andrews Rd Ste 408, Saginaw, MI 48638 2019-06-25
1972164689 Amanda Elizabeth Ellis Counselor 1909 Ky 3439, Barbourville, KY 40906-7201 2019-06-24
1649836024 Amanda Ellis Dentist 1001 Covington St, Youngstown, OH 44510-1617 2019-05-12
1780145029 Amanda Ellis Counselor 21545 Centre Pointe Pkwy, Santa Clarita, CA 91350-2947 2019-03-28
1760955058 Amanda Ellis Behavioral Analyst 6 Strathmore Rd, Natick, MA 01760-2419 2019-01-09

Office Location

Street Address 3841 PIPER ST STE T100
City ANCHORAGE
State AK
Zip Code 99508-4674

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053418632 Elizabeth A. Garrity Nurse Practitioner 3841 Piper St Ste T100, Anchorage, AK 99508 2006-09-17
1710514757 Gabriel R Holland Physician Assistant 3841 Piper St Ste T100, Anchorage, AK 99508-4674 2020-03-26
1427691864 Claudia Proelss Smith Nurse Practitioner 3841 Piper St Ste T100, Anchorage, AK 99508-4674 2019-10-17
1902376437 Nathan Friederichs Physician Assistant 3841 Piper St Ste T100, Anchorage, AK 99508-4674 2018-11-27
1912499211 Amy Jeanette Hart Nurse Practitioner 3841 Piper St Ste T100, Anchorage, AK 99508-4674 2018-06-01
1487169686 Jonathan James Tower Physician Assistant 3841 Piper St Ste T100, Anchorage, AK 99508-4674 2017-12-10
1831613694 Kristine Dianne Lubaton Polintan Nurse Practitioner 3841 Piper St Ste T100, Anchorage, AK 99508-4674 2017-08-02
1265984181 Theresa Gale Hall Nurse Practitioner 3841 Piper St Ste T100, Anchorage, AK 99508-4674 2016-10-26
1801274493 Yuriy Tretyak Physician Assistant 3841 Piper St Ste T100, Anchorage, AK 99508 2015-05-14
1982946315 Blake Randolph Charlton Internal Medicine 3841 Piper St Ste T100, Anchorage, AK 99508-4674 2013-03-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366063349 Alexandra L Davis Student in an Organized Health Care Education/Training Program 1202 E 36th Ave, Anchorage, AK 99508 2020-05-01
1366087108 The Salvation Army, A California Corporation Community/Behavioral Health 3600 East 20th Avenue, Anchorage, AK 99508 2019-11-15
1679120349 Kila Gilcart Speech-Language Pathologist 161 Klevin Street #103, Anchorage, AK 99508 2019-08-19
1326692963 Shannon Maillet Behavior Technician 1650 S Bragaw, Anchorage, AK 99508 2019-07-31
1427602044 Frank Harris Lawson Iv Behavior Technician 1650 S. Bragaw, Anchorage, AK 99508 2019-07-31
1104470723 Vivalesi Seforosa Nair Behavior Technician 1650 South Bragaw, Anchorage, AK 99508 2019-07-31
1043864267 The Cozy Chalet Assisted Living Home LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3707 Mt Blanc Circle, Anchorage, AK 99508 2019-07-25
1942861778 Christine Mary Hoover Registered Nurse Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 2019-06-24
1215594502 Ashley Ongtowasruk Case Manager/Care Coordinator 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 2019-05-22
1659937019 Rayne Johnson Behavior Technician 4000 San Ernesto Blvd, Anchorage, AK 99508 2019-05-11
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427691864 Claudia Proelss Smith Nurse Practitioner 3841 Piper St Ste T100, Anchorage, AK 99508-4674 2019-10-17
1902325558 Lindsay Rachel Ekiss Nurse Practitioner 11260 Old Seward Hwy Ste 107, Anchorage, AK 99515 2017-09-14
1265984181 Theresa Gale Hall Nurse Practitioner 3841 Piper St Ste T100, Anchorage, AK 99508-4674 2016-10-26
1518272913 Karyn Rae Overturf Nurse Practitioner 3200 Providence Dr, Suite B111, Anchorage, AK 99508-4615 2010-08-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1114089232 Merritt M Andruss Nurse Practitioner 4675 Glacier Hwy, Juneau, AK 99801-9518 2006-12-14
1760912182 Todd Draper Nurse Practitioner 1221 Noble St, Fairbanks, AK 99701-4961 2017-06-18
1659522712 Charlotte Marie Davis Nurse Practitioner 1867 Airport Way, Suite 110b, Fairbanks, AK 99701-4007 2008-10-08
1215932256 Lynn M Stevens Knowles Nurse Practitioner 250 Hospital Pl, Soldotna, AK 99669-7559 2005-06-16

Competitor

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City ANCHORAGE
Zip Code 99508

Improve Information

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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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