JORDAN E ELLIS


Address: 1836 South Ave, La Crosse, WI 54601-5429
Phone: 6087827300

JORDAN E ELLIS (NPI# 1720534696) 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) 1720534696
Entity Type Individual
Full Name JORDAN E ELLIS
Other Name JORDAN E TULLY
Credential CRNA
Practice Address 1836 South Ave
La Crosse
WI 54601-5429
Practice Telephone 6087827300
Mailing Telephone 6087827300
Enumeration Date 2016-08-30
Last Update Date 2017-10-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered 191295 WI Physician Assistants & Advanced Practice Nursing Providers

Other Providers JORDAN ELLIS

NPI Name Taxonomy Address Enumeration
1891239901 Jordan Ellis Specialist/Technologist 5814 S 105th St, Omaha, NE 68127-2909 2016-12-08
1144636275 Jordan Marie Ellis Nurse Practitioner 1642 Westgate Cir Ste 202, Brentwood, TN 37027-8195 2014-07-09
1972167161 Jordan Ellis Psychologist 1100 Wilford Hall Loop, Bldg. 4554, 59 Mdw/gme, Jbsa Lackland, Jbsa Lackland, TX 78236 2019-04-24
1902398068 Jordan Michael Ellis Dentist 1900 East Main St, Danville, IL 61832-6183 2018-06-05

Office Location

Street Address 1836 SOUTH AVE
City LA CROSSE
State WI
Zip Code 54601-5429

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952304834 Susan G Maclellan-tobert Pediatrics 1836 South Ave, La Crosse, WI 54601-5429 2005-05-24
1861099590 Ellen Compton Dietitian, Registered 1836 South Ave, La Crosse, WI 54601-5429 2020-10-06
1699382630 Jedd Sebion Pharmacist 1836 South Ave, La Crosse, WI 54601-5429 2020-09-24
1104436351 Taryn Jean Simon Speech-Language Pathologist 1836 South Ave, La Crosse, WI 54601-5429 2020-08-03
1497376438 Eva Igler Student in an Organized Health Care Education/Training Program 1836 South Ave, La Crosse, WI 54601-5429 2020-04-30
1568083608 Benjamin Haase Thompson Student in an Organized Health Care Education/Training Program 1836 South Ave, La Crosse, WI 54601-5429 2020-04-29
1316568736 Eric Bobel Student in an Organized Health Care Education/Training Program 1836 South Ave, La Crosse, WI 54601-5429 2020-04-27
1134749708 Kristin Danielle Heslep Student in an Organized Health Care Education/Training Program 1836 South Ave, La Crosse, WI 54601-5429 2020-04-23
1982224598 Rebecca Stanek Student in an Organized Health Care Education/Training Program 1836 South Ave, La Crosse, WI 54601-5429 2020-04-23
1609496595 Marie Gilberte Cineus Student in an Organized Health Care Education/Training Program 1836 South Ave, La Crosse, WI 54601-5429 2020-04-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891324265 Meagan Mcrae Student in an Organized Health Care Education/Training Program 1725 State St., 4051 Health Science Center, La Crosse, WI 54601 2020-04-07
1255969671 Erin Dingman Student in an Organized Health Care Education/Training Program 1751 State Street, 4051 Health Science Center, La Crosse, WI 54601 2020-03-31
1619505047 Nicole Kay Lynch Student in an Organized Health Care Education/Training Program 4051 Health Science Center, 1725 State St, La Crosse, WI 54601 2020-03-31
1174151757 Jenna Sells Student in an Organized Health Care Education/Training Program 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 2020-03-30
1740818301 Katie Irene Tahtinen Student in an Organized Health Care Education/Training Program Uwl- 4051 Health Science Center, 1725 State St., La Crosse, WI 54601 2020-03-30
1932737517 Margaret May Grimm Student in an Organized Health Care Education/Training Program Univesity of Wisconsin-la Crosse, 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 2020-03-30
1831727312 Matthew Timothy Axler Student in an Organized Health Care Education/Training Program 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 2020-03-30
1093340473 Denise Stinson Technician 1311 Badger St, Apt 505, La Crosse, WI 54601 2020-03-06
1922632397 Ibrahim Ahsan Pharmacist 1105 Wi-16, La Crosse, WI 54601 2020-02-25
1750913356 Liza R Collins Massage Therapist 1415 State Wi 16, La Crosse, WI 54601 2020-02-11
Find all providers in zip 54601

Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (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. 548.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396754420 Gregory Paul Sauer Nurse Anesthetist, Certified Registered N2685 Potato Ridge Rd, La Crosse, WI 54601-3006 2006-08-07
1306848544 Peter M Allen Nurse Anesthetist, Certified Registered 700 West Ave S, La Crosse, WI 54601-4783 2005-06-01
1154969210 Alec Weston Schindler Nurse Anesthetist, Certified Registered 1836 South Ave, La Crosse, WI 54601-5429 2019-12-19
1841775004 Jolene E Boldt Nurse Anesthetist, Certified Registered 1836 South Ave, La Crosse, WI 54601-5429 2018-10-03
1144730458 Bryn Hayes Daisy Borders Nurse Anesthetist, Certified Registered 700 West Ave S, La Crosse, WI 54601-4783 2017-10-02
1184143968 Joseph J Holger Nurse Anesthetist, Certified Registered 1900 South Ave, La Crosse, WI 54601-5467 2017-09-13
1275052037 Joshua Carl Laack Nurse Anesthetist, Certified Registered 700 West Ave S, La Crosse, WI 54601-4783 2017-09-13
1023566379 Michael Joe Sanders Nurse Anesthetist, Certified Registered 1836 South Ave, La Crosse, WI 54601-5429 2016-09-15
1699222760 Jacob Louis Clements Nurse Anesthetist, Certified Registered 700 West Ave S, La Crosse, WI 54601 2016-09-07
1417404799 Heidi Inabnit Nurse Anesthetist, Certified Registered 700 West Ave S, La Crosse, WI 54601 2016-09-05
Find all providers in LA CROSSE

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City LA CROSSE
Zip Code 54601

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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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