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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
158829 | AK | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902443195 | Amanda L Ellis | Family Medicine | 750 Albemarle Ave, Cuyahoga Falls, OH 44221-4814 | 2019-12-06 |
1386138907 | Amanda Frances Ellis | Dietitian, Registered | 915 118th Ave Se, Attention Alecia Johnson, Ret Physica, Suite 110, Bellevue, WA 98005 | 2018-06-18 |
1558876748 | Amanda Ellis | Behavior Technician | 2751 Legends Pkwy Ste 2, Prattville, AL 36066-7754 | 2017-12-10 |
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 |
Street Address |
3841 PIPER ST STE T100 |
City | ANCHORAGE |
State | AK |
Zip Code | 99508-4674 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 99508 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
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 |
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 |
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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.