JEANETTE ELLIS (NPI# 1659819555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659819555 |
| Entity Type | Individual |
| Full Name | JEANETTE ELLIS |
| Practice Address |
245 Homewood Pl Reserve LA 70084-5527 |
| Mailing Address |
245 Homewood Pl Suite E Reserve LA 70084-5527 |
| Practice Telephone | 5045590039 |
| Mailing Telephone | 5045590039 |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2017-02-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184191363 | Jeanette Ilene Ellis | Nurse Anesthetist, Certified Registered | 2 Good Samaritan Way Ste 205, Mount Vernon, IL 62864-2476 | 2018-10-25 |
| Street Address |
245 HOMEWOOD PL |
| City | RESERVE |
| State | LA |
| Zip Code | 70084-5527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891289831 | Patrice Edwards Robinson | Nurse Practitioner | 1 Wildcat Drive, Reserve, LA 70084 | 2018-06-21 |
| 1083148506 | Laotis Dee Dennis | Counselor | 579 Nw 2nd St, Reserve, LA 70084 | 2017-04-12 |
| 1659613032 | Varsha Jasti | Internal Medicine | St John Va Outpatient Clinic 4004 West Airline Hwy, Reserve, LA 70084 | 2013-03-22 |
| 1235264367 | Brett D Madere Dds Apc | Dentist | 190 Central Avenue Reserve La, Reserve, LA 70084 | 2007-02-22 |
| 1003841842 | Gem Drugs, Inc. | Durable Medical Equipment & Medical Supplies | 139 Central Ave, Reserve, LA 70084 | 2006-07-11 |
| 1932645231 | Velissa Frank | Counselor | 279 Chad B Baker St, Reserve, LA 70084-5016 | 2017-01-10 |
| 1235774282 | Terri Millet | Non-emergency Medical Transport (VAN) | 365 E 22nd St, Reserve, LA 70084-5210 | 2019-11-14 |
| 1689170136 | Greater Living Care Center | Home Health | 395 E 22nd St, Reserve, LA 70084-5210 | 2018-04-03 |
| 1174918783 | Usa Pharmacy & Medical Supplies | Pharmacy | 1170 Highway 44, Reserve, LA 70084-5343 | 2015-03-31 |
| 1558811216 | Elizabeth Rousseve | Nurse Practitioner | 471 Central Ave, Reserve, LA 70084-5509 | 2016-10-06 |
| Find all providers in zip 70084 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780242693 | Queysheina Jackson | Counselor | 215 Homewood Pl, Reserve, LA 70084-5525 | 2019-06-05 |
| 1689109910 | Koi Thompson | Counselor | 374 Nw 2nd St, Reserve, LA 70084-6504 | 2017-04-24 |
| 1083148506 | Laotis Dee Dennis | Counselor | 579 Nw 2nd St, Reserve, LA 70084 | 2017-04-12 |
| 1750820189 | Lamondo Forest | Counselor | 206 E 12th Ext, Reserve, LA 70084-5559 | 2017-02-17 |
| 1932645231 | Velissa Frank | Counselor | 279 Chad B Baker St, Reserve, LA 70084-5016 | 2017-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447222 | Caitlin Mcginn Seelie | Counselor | 1932 Audubon St, New Orleans, LA 70118-5516 | 2020-11-06 |
| 1578160024 | Benjamin Ng | Counselor | 8758 Field Dr, Baton Rouge, LA 70809-2903 | 2020-10-07 |
| 1275130767 | Emily Ludwin Miller | Counselor | 1941 Congress St, New Orleans, LA 70117-5927 | 2020-10-07 |
| 1932716263 | Julie Ireland | Counselor | 1264 Staci Ln, Sulphur, LA 70665-7951 | 2020-09-30 |
| 1639786502 | Erik Rasmussen | Counselor | 670 Albemarle Dr Ste 700, Shreveport, LA 71106-5946 | 2020-09-25 |
| 1689280174 | Amy Giles Arceneaux | Counselor | 850 Kaliste Saloom Rd Bldg Ste 204, Lafayette, LA 70508-4230 | 2020-09-20 |
| 1619582640 | Lisha Kerr Jacobsen | Counselor | 7936 Wrenwood Drive, Bldg # A, Baton Rouge, LA 70809 | 2020-09-15 |
| 1528673258 | Benjamin R Taylor Jr. | Counselor | 8728 Waters Edge Ave, Baker, LA 70714-6443 | 2020-09-10 |
| 1144833906 | Kelli Cain | Counselor | 919 Doc Prejean St, Scott, LA 70583-5133 | 2020-08-31 |
| 1760095459 | Julie Giroir Galloway | Counselor | 4906 Ambassador Caffery Pkwy Bldg B, Lafayette, LA 70508-6962 | 2020-08-24 |
| Find all providers with the same taxonomy | ||||
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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.