LOLITA ELLIS (NPI# 1750752622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750752622 |
| Entity Type | Individual |
| Full Name | LOLITA ELLIS |
| Practice Address |
206 E Iowa Ave Bonifay FL 32425-2208 |
| Practice Telephone | 8508493869 |
| Practice Fax Number | 8505471568 |
| Mailing Telephone | 8508493869 |
| Mailing Fax Number | 8505471568 |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2016-06-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| N | 3747A0650X |
Technician Specialization: Attendant Care Provider |
166844 | FL | Nursing Service Related Providers |
| N | 374U00000X | Home Health Aide | 166844 | FL | Nursing Service Related Providers |
| N | 376J00000X | Homemaker | 166844 | FL | Nursing Service Related Providers |
| Y | 376K00000X | Nurse's Aide | 166844 | FL | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | ATN | 607114 | 01 |
| Street Address |
206 E IOWA AVE |
| City | BONIFAY |
| State | FL |
| Zip Code | 32425-2208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124650270 | Elizabeth H Lolley | Counselor | 1987 Remington Pl, Bonifay, FL 32425 | 2020-02-06 |
| 1891333274 | Traci Corbin | Registered Nurse | 603 Scenic Hill Circle, Bonifay, FL 32425 | 2019-12-16 |
| 1912339565 | Cb Health Ventures, Inc. | Assisted Living Facility | 108 Wagner Rd., Bonifay, FL 32425 | 2013-08-06 |
| 1558538868 | Patrick L Hawkins | Family Medicine | 3120 Southride Lane, Bonifay, FL 32425 | 2008-05-15 |
| 1477763860 | Pak Rural Health | Internal Medicine | 812 S. Weeks St, Bonifay, FL 32425 | 2007-05-23 |
| 1073680245 | Ahmad Tariq Ismail | Family Medicine | 110 East Byrd Ave, Bonifay, FL 32425 | 2006-11-30 |
| 1982775805 | County of Holmes Office Clerk Board of County Commissioners | Ambulance | 949 E. Hwy 90, Bonifay, FL 32425 | 2006-11-13 |
| 1710080890 | Bonifay Nsg & Rehab | Assisted Living Facility | 304 N Brock Ave, Bonifay, FL 32425 | 2006-09-06 |
| 1710949318 | Florida Department of Health | Public Health or Welfare | 603 Scenic Circle, Bonifay, FL 32425 | 2006-04-06 |
| 1366431702 | Holmes County Hospital Corporation | General Acute Care Hospital | 2600 Hospital Drive, Bonifay, FL 32425 | 2005-10-18 |
| Find all providers in zip 32425 | ||||
| Taxonomy Code | 376K00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Nurse's Aide |
| (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work. |
| Notes: Source: (1) American Nurses Association, Registered Professional Nurses and Unlicensed Personnel, 2nd ed., 1996; (2) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013647 | Tia Patterson | Nurse's Aide | 9415 Devonshire Blvd, Jacksonville, FL 32208-7002 | 2020-11-02 |
| 1730788209 | Monique Ettenne | Nurse's Aide | 625 Sw Avenue C Apt 3, Belle Glade, FL 33430-3393 | 2020-10-25 |
| 1427655943 | Alisia Givens | Nurse's Aide | 3209 Pine Top Dr, Valrico, FL 33594-7636 | 2020-10-07 |
| 1871190447 | Yvrose Y Almicar I | Nurse's Aide | 112 Crenshaw Lake Rd, Lutz, FL 33548-6101 | 2020-10-06 |
| 1205433943 | Shannon Ethridge | Nurse's Aide | 3006 Ribault Scenic Dr, Jacksonville, FL 32208-2477 | 2020-10-06 |
| 1194332684 | Gifted Elderly Care Inc | Nurse's Aide | 1314 Clearlake Rd Ste 1, Cocoa, FL 32922-6451 | 2020-09-28 |
| 1134734692 | Joshua Guadalupe | Nurse's Aide | 4575 Lucerne Lakes Blvd W Apt 106, Lake Worth, FL 33467-8818 | 2020-09-11 |
| 1336752336 | Jean Ester Favors | Nurse's Aide | 5093 Sw 98th Pl, Ocala, FL 34476-8757 | 2020-08-28 |
| 1629680780 | Katy Ann Nicola White | Nurse's Aide | 118 E Evans St, Orlando, FL 32804-3926 | 2020-08-20 |
| 1568074821 | Misty Gayle Spradlin | Nurse's Aide | 4720 Locust St Ne Apt 216, St Petersburg, FL 33703-6459 | 2020-08-18 |
| 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.