MS. MICHELLE LORRAINE ELLIS (NPI# 1700125663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700125663 |
Entity Type | Individual |
Full Name | MS. MICHELLE LORRAINE ELLIS |
Other Name | MICHELLE LORRAINE JOHNSON |
Credential | NP |
Practice Address |
15501 E 13th Ave Aurora CO 80011-7203 |
Mailing Address |
3701 S Broadway Englewood CO 80113-3611 |
Practice Telephone | 3033606276 |
Practice Fax Number | 3033431006 |
Mailing Telephone | 3033606276 |
Mailing Fax Number | 3037612787 |
Enumeration Date | 2013-02-12 |
Last Update Date | 2019-02-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WW0101X |
Registered Nurse Specialization: Women's Health Care, Ambulatory |
0062218 | CO | Nursing Service Providers |
Y | 363L00000X | Nurse Practitioner | APN.0990405 | CO | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | 65280555 | 05 | |
CO | KAISER COMMERCIAL NUMBER | 016313 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
4545 E 9th Ave, Ste 500, Denver, CO 802203904 | 3033889321 | 3033883910 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053845347 | Michelle Ellis | Massage Therapist | 11217 E 11th Ave, Spokane Valley, WA 99206-2836 | 2017-04-13 |
1851743017 | Michelle Ellis | Registered Nurse | 33 West 125th Street, New York, NY 10027 | 2016-07-11 |
1679955603 | Michelle Ellis | Physical Therapy Assistant | 1885 W 5th St, Colby, KS 67701-1511 | 2015-06-26 |
1659766186 | Michelle Matson Ellis | Counselor | 1809 Commercial Ave Ste 207, Anacortes, WA 98221-2326 | 2015-04-01 |
1912331778 | Michelle Ellis | Registered Nurse | 1152 Neilson St, Apt 1, Far Rockaway, NY 11691-4735 | 2013-08-29 |
1013253426 | Michelle Lee Ellis | Occupational Therapy Assistant | 5821 N Hermosa Cir, Otis Orchards, WA 99027-8278 | 2012-12-13 |
1790059459 | Michelle Ellis | Nurse Practitioner | 3157 Robert C. Byrd Dr., Beckley, WV 25801 | 2012-02-28 |
1023328499 | Michelle Nakiesha Ellis | Licensed Practical Nurse | 25110 Tryon Rd, Oakwood Village, OH 44146 | 2010-10-19 |
1750482253 | Michelle Andree Ellis | Psychologist | 639 E Speedway, Tucson, AZ 85705 | 2006-09-26 |
1710594049 | Michelle Lynae Ellis | Behavior Technician | 200 Brookstone Centre Pkwy Bldg 200, Columbus, GA 31904-4559 | 2020-09-30 |
Street Address |
15501 E 13TH AVE |
City | AURORA |
State | CO |
Zip Code | 80011-7203 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447896659 | Metro Community Provider Network, Inc. | Clinic/Center | 15501 E 13th Ave, Aurora, CO 80011-7203 | 2019-11-22 |
1801432034 | Metro Community Provider Network, Inc. | Clinic/Center | 15501 E 13th Ave, Aurora, CO 80011-7203 | 2019-11-22 |
1679098099 | Morgan Constantine Wimberley | Physician Assistant | 15501 E 13th Ave, Aurora, CO 80011 | 2017-08-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417590985 | Trang-anh Thuy Do | Pharmacist | 1600 E. Centretech Parkway, Aurora, CO 80011 | 2019-10-28 |
1003372137 | Nickes Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 365 N. Telluride St., Buckley Afb, Aurora, CO 80011 | 2019-02-13 |
1093294795 | University Physicians Incorporated | Pediatrics | 13100 E Colfax Ave Fl 3, Aurora, CO 80011 | 2018-08-13 |
1841783230 | Gabrielle Carmely | Counselor | 16380 E 14th Place, Aurora, CO 80011 | 2018-06-11 |
1376049866 | Olusegun Joseph Ogundele | Counselor | 791 Chamber Zone 3rd Floor, Aurora, CO 80011 | 2018-04-03 |
1750883567 | Mikiyas Fessha Tegen | Non-emergency Medical Transport (VAN) | 501 Evanston Court, Aurora, CO 80011 | 2018-03-07 |
1124528005 | Happy and Smile Home Care | Home Health | 14221 E 4th Ave Ste 221, Aurora, CO 80011 | 2018-02-16 |
1902313240 | Dp Assisting | Specialist/Technologist, Other | 1279 Salem St., Aurora, CO 80011 | 2018-01-09 |
1548788219 | Lisa Chan | Dietitian, Registered | 17890 E. Steamboat Ave, Building 35, Aurora, CO 80011 | 2017-09-01 |
1154851962 | Tania Chanae Anderson | Counselor | 14500 E 33rd Place, Aurora, CO 80011 | 2017-06-14 |
Find all providers in zip 80011 |
Taxonomy Code | 363L00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164021168 | Stephanie Schuster | Nurse Practitioner | 2665 Prairieview Ln N, Aurora, IL 60502-6343 | 2020-10-21 |
1124639539 | Jesika Meghan Florin | Nurse Practitioner | 280 Poplar Ct, Aurora, OH 44202-9157 | 2020-08-11 |
1033764998 | Terra L Kolacki | Nurse Practitioner | 2720 E New York St Ste 108, Aurora, IL 60502-9507 | 2019-08-07 |
1740846112 | Oksana Chien | Nurse Practitioner | 2040 Ogden Ave Ste 604, Aurora, IL 60504-7206 | 2019-05-11 |
1861895807 | Teresa Tanabe | Nurse Practitioner | 3551 Chambers Rd # A-d, Aurora, CO 80011-1330 | 2014-10-05 |
1497171516 | Kelsey Bridgewater Berge | Nurse Practitioner | 15901 East Briarwood Circle, Suite 200, Aurora, CO 80016 | 2014-03-13 |
1801027180 | Veronica J Reza | Nurse Practitioner | 3091 S Jamaica Ct, Aurora, CO 80014-2657 | 2009-08-04 |
1659544757 | Maureen Patrice Davis | Nurse Practitioner | 13123 E 16th Ave # B361, Aurora, CO 80045-7106 | 2008-04-09 |
1205020799 | Advanced Practice Associates | Nurse Practitioner | 580 Breckenridge Dr, Aurora, IL 60504-5259 | 2007-08-28 |
1033232541 | Joan Irene Primozich | Nurse Practitioner | 1400 S Potomac St Ste 190, Aurora, CO 80012-4514 | 2007-04-09 |
Find all providers in AURORA |
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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.