SARA J ELLIS (NPI# 1750997318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750997318 |
| Entity Type | Individual |
| Full Name | SARA J ELLIS |
| Credential | FNP-C |
| Practice Address |
1963 2nd St Richlands VA 24641-2303 |
| Mailing Address |
660 Star St Pounding Mill VA 24637-4309 |
| Practice Telephone | 2765969181 |
| Practice Fax Number | 2765969182 |
| Mailing Telephone | 2762028995 |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2020-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024180178 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760687289 | Sara Lynn Ellis | Nurse Practitioner | 4000 Cambridge Department of Nursing Services, Kansas City, KS 66160-0001 | 2007-06-15 |
| 1902368020 | Sara Ellis | Community Health Worker | 1120 Gordon Ln, Santa Rosa, CA 95404-5636 | 2019-04-05 |
| 1750853172 | Sara Frances Ellis | Occupational Therapist | 2799 W Grand Blvd, Detroit, MI 48202-2689 | 2018-12-24 |
| 1962919381 | Sara Ellis | Counselor | 400 Washington St Ste 106, Braintree, MA 02184-4764 | 2018-01-08 |
| 1396262952 | Sara Ellis | Clinic/Center | 551 Batavia Pike, Cincinnati, OH 45244-1518 | 2017-08-24 |
| 1396271649 | Sara R Ellis | Physical Therapist | 3460 N Ridge Rd, Ste 80, Wichita, KS 67205-1222 | 2017-05-05 |
| 1255771242 | Sara Ellis | Social Worker | 824 Gum Branch Rd, Suite O, Jacksonville, NC 28540-6272 | 2013-07-05 |
| 1932283397 | Sara Jane Ellis | Physical Therapist | 1406 6th Ave N, Saint Cloud, MN 56303 | 2006-10-24 |
| Street Address |
1963 2ND ST |
| City | RICHLANDS |
| State | VA |
| Zip Code | 24641-2303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912007808 | Kristen Denise Thompson-whitt | Nurse Practitioner | 1963 2nd St, Richlands, VA 24641-2303 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740819374 | Natasha Ramey | Registered Nurse | 6801 Gov George C Peery Highway, Richlands, VA 24641 | 2020-04-06 |
| 1881133585 | Amanda Combs | Nurse Practitioner | 6719 Governor G.c. Perry Highway Suit 3100, Richlands, VA 24641 | 2017-02-15 |
| 1740635549 | Najlaa Jaleesah | Emergency Medicine | 6801 Gov George C. Peery Hwy, Richlands, VA 24641 | 2016-04-28 |
| 1578817938 | Clinch Valley Vascular Surgical Assoc., Pllc | Surgery | 6719 Gov. G.c. Peery Highway, Suite 2600, Richlands, VA 24641 | 2012-11-06 |
| 1033461777 | Carol Keen | Nurse Practitioner | 6719 Gov Gc Perry Hwy, Richlands, VA 24641 | 2012-10-04 |
| 1487930905 | Sami Abdul Jawad | Internal Medicine | 6801 Governor George C. Peery Hwy, Richlands, VA 24641 | 2011-10-28 |
| 1134403090 | Clinch Valley Vascular Surgery Associates | General Acute Care Hospital | 6719 Gov G. C. Peery Highway, 2600, Richlands, VA 24641 | 2011-10-10 |
| 1699089953 | Suasin Cancer Care, Inc. | Radiology | 6801 Gov.g.c. Peery Hwy, Richlands, VA 24641 | 2010-07-28 |
| 1902122922 | Hao Duy Pham | Surgery | 6719 Governor Gc Peery Hwy Ste 2600, Richlands, VA 24641 | 2010-04-15 |
| 1144477134 | Paul R Goyt | Emergency Medicine | 6801 Governor G C Peery Hwy, Richlands, VA 24641 | 2008-08-21 |
| Find all providers in zip 24641 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063024677 | Paula Johnson | Nurse Practitioner | 317 Cadenza Ln, Richlands, NC 28574-3000 | 2020-08-17 |
| 1881133585 | Amanda Combs | Nurse Practitioner | 6719 Governor G.c. Perry Highway Suit 3100, Richlands, VA 24641 | 2017-02-15 |
| 1033461777 | Carol Keen | Nurse Practitioner | 6719 Gov Gc Perry Hwy, Richlands, VA 24641 | 2012-10-04 |
| 1184976821 | April Colley | Nurse Practitioner | 6719 Governor Gc Peery Hwy Ste 1400, Richlands, VA 24641-2492 | 2012-10-04 |
| 1871815316 | Ramona L Boyd | Nurse Practitioner | 460 Front St, Richlands, VA 24641-3065 | 2010-02-25 |
| 1912007808 | Kristen Denise Thompson-whitt | Nurse Practitioner | 1963 2nd St, Richlands, VA 24641-2303 | 2006-09-22 |
| 1275573883 | Mary Sue Keen | Nurse Practitioner | 6791 Gov. G. C. Peery Hwy, Suite 3100, Richlands, VA 24641-2099 | 2006-06-08 |
| 1205818937 | Tammy Richardson | Nurse Practitioner | 2949 Front St, Richlands, VA 24641-2010 | 2005-11-17 |
| 1154302628 | Amy Lea Roberts | Nurse Practitioner | 6719 Gov. G. C. Peery Hwy., Suite 3100, Richlands, VA 24641 | 2005-11-10 |
| 1104817543 | Patricia Lynn Maggard | Nurse Practitioner | One Clinic Drive, Claypool Hill, Richlands, VA 24641-1100 | 2005-11-03 |
| Find all providers in RICHLANDS | ||||
Please comment or provide details below to improve the information on SARA J ELLIS.
| 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.