MS. SUSAN ANNE ELLIS (NPI# 1578520292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578520292 |
| Entity Type | Individual |
| Full Name | MS. SUSAN ANNE ELLIS |
| Credential | ATC, LAT, EMT |
| Practice Address |
130 Tuskawilla Rd Winter Springs FL 32708-2831 |
| Mailing Address |
411 Murphy Rd Winter Springs FL 32708-3497 |
| Practice Telephone | 4073208749 |
| Mailing Telephone | 4072524915 |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AL246 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457477903 | Susan Bethea Ellis | Marriage & Family Therapist | 2810 Leisure Ln, Carrollton, TX 75006-4734 | 2007-03-22 |
| 1841356078 | Susan Capri Ellis | Licensed Practical Nurse | 716 E Bradford St, Marion, IN 46952-2921 | 2006-12-30 |
| 1578633350 | Susan G Ellis | Psychologist | 3233 E Bay Dr, Suite 100, Largo, FL 33771-1900 | 2006-11-08 |
| 1285247114 | Susan Ellis | Counselor | 13035 W Bluemound Rd Ste 100, Brookfield, WI 53005-8001 | 2020-08-29 |
| 1750706800 | Susan Ellis | Nurse Practitioner | 610 Euclid Ave Ste 200, National City, CA 91950-2951 | 2014-02-26 |
| 1952732497 | Susan Ellis | Specialist/Technologist | 1000 Brookhaven Dr, Aiken, SC 29803-2109 | 2013-12-10 |
| 1689911794 | Susan Kay Ellis | Counselor | 1222 10th St, 301, Woodward, OK 73801-3156 | 2013-01-09 |
| 1639332430 | Susan Norma Ellis | Counselor | 807 Lawn Ave, Sellersville, PA 18960-1549 | 2008-07-02 |
| 1871631796 | Susan Ellis | Nurse Practitioner | 1609 Cedar St, Muscatine, IA 52761-3426 | 2007-02-02 |
| 1720188725 | Susan Shereen Ellis | Social Worker | 325 Sw Frazier Ave, Topeka, KS 66606-1963 | 2006-09-22 |
| Street Address |
130 TUSKAWILLA RD |
| City | WINTER SPRINGS |
| State | FL |
| Zip Code | 32708-2831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558928853 | Veronica-jo Prisco | Social Worker | 580 Old Sanford Road, Winter Springs, FL 32708 | 2019-05-22 |
| 1083101398 | Kd Medical Choice Inc | Clinical Medical Laboratory | 253 Winding Hollow Blvd, Winter Springs, FL 32708 | 2018-04-23 |
| 1861921223 | Karen Bova | Nurse Practitioner | 427 S. Buckskin Way, Winter Springs, FL 32708 | 2017-06-08 |
| 1922530997 | Mayur Vibhakar | Pharmacist | 5840 Red Bug Lake Rd # 1532, Winter Springs, FL 32708 | 2017-03-29 |
| 1053855379 | Liadys Diaz | Social Worker | 4 Sycamore Ct Apt 102, Winter Springs, FL 32708 | 2016-12-05 |
| 1225499817 | Tucawilla Villa, LLC | Custodial Care Facility | 995 Tuscawilla Road, Winter Springs, FL 32708 | 2016-03-10 |
| 1508222100 | Elizabeth Wright | Occupational Therapist | 985 Troon Trce, Winter Springs, FL 32708 | 2016-01-12 |
| 1790168771 | K Rose Ivey | Counselor | 252 Saxony Ct, Winter Springs, FL 32708 | 2015-07-08 |
| 1568863165 | Charles Afton Wise | Counselor | 1491 East Sr 434, Suite 104, Winter Springs, FL 32708 | 2014-09-15 |
| 1174958342 | Jorge Deju | Preventive Medicine | 617 Nighthawk Circle, Winter Springs, FL 32708 | 2013-09-06 |
| Find all providers in zip 32708 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336554344 | Erika Renee Chace | Specialist/Technologist | 1362 Schooner Ct, Winter Springs, FL 32708-5234 | 2014-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597560 | Hannah Ogle | Specialist/Technologist | 110 Gloria Drive, Hollister, FL 32147 | 2020-10-30 |
| 1740889377 | Ryan Michael Hill | Specialist/Technologist | 314 S Habana Ave, Tampa, FL 33609-3223 | 2020-10-24 |
| 1568061182 | Lester Vivian Leon Ferdinand | Specialist/Technologist | 6705 S Red Rd Ste 410, South Miami, FL 33143-3644 | 2020-10-24 |
| 1770182651 | Sarah Danielle Combs | Specialist/Technologist | 4521 Lenmore Street, Orlando, FL 32812 | 2020-10-21 |
| 1679170369 | David S Duchin | Specialist/Technologist | 19033 Nw 23rd Ct, Pembroke Pines, FL 33029-5337 | 2020-10-06 |
| 1750988838 | Jade Shields | Specialist/Technologist | 144 Enrede Ln, Saint Augustine, FL 32095-7436 | 2020-10-02 |
| 1639786940 | Dewayne N Dubose | Specialist/Technologist | 344 Chesham St, Ormond Beach, FL 32174-0692 | 2020-09-30 |
| 1467069914 | Alison M Dougan | Specialist/Technologist | 3345 Cypress Legends Cir Apt 1104, Fort Myers, FL 33905-5542 | 2020-09-29 |
| 1225643240 | Megan Marisa Fox | Specialist/Technologist | 5803 Marta Dr, Tampa, FL 33617-1125 | 2020-09-15 |
| 1104430305 | Nikki Page Keown | Specialist/Technologist | 12136 Luftburrow Ln, Hudson, FL 34669-5005 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
| City | WINTER SPRINGS |
| Zip Code | 32708 |
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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.