KELLY ELLIS


Address: 585 S Union St, Sparta, MI 49345-1505
Phone: 5617629929

KELLY ELLIS (NPI# 1821615279) 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) 1821615279
Entity Type Individual
Full Name KELLY ELLIS
Credential NURSE PRACTITIONER
Practice Address 585 S Union St
Sparta
MI 49345-1505
Practice Telephone 5617629929
Mailing Telephone 5617629929
Enumeration Date 2020-07-01
Last Update Date 2020-07-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
4704295494NSA200 MI Physician Assistants & Advanced Practice Nursing Providers

Other Providers KELLY ELLIS

NPI Name Taxonomy Address Enumeration
1194346759 Kelly Nicole Ellis Registered Nurse 13819 County Road 1131, Flint, TX 75762-2419 2020-05-05
1205455789 Kelly Wynell Ellis Physical Medicine & Rehabilitation 5502 San Juan Dr, Toledo, OH 43612-3336 2020-04-14
1306348834 Kelly Ellis Chore Provider 5033 Saint Annes Dr, Las Vegas, NV 89149-5717 2018-02-28
1104226109 Kelly Ellis Student in an Organized Health Care Education/Training Program 9621 Fontainebleau Blvd, 515, Miami, FL 33172-6814 2014-08-26
1992014971 Kelly Michelle Ellis Technician, Pathology 4230 Tree Moss Pl, Humble, TX 77346-4560 2010-09-24
1417189929 Kelly Pinney Ellis Counselor 404 Broadway St, Suite B, South Haven, MI 49090-1421 2009-08-17
1922233246 Kelly Abbott Ellis Physical Therapist 4953 Macaw Ct Ne, Marietta, GA 30066-1286 2009-05-17
1407941057 Kelly Leigh Ellis Family Medicine 301 N 27th St Ste 2, Norfolk, NE 68701-4457 2006-10-03
1073548186 Kelly Ann Ellis Social Worker 39760 Black Mesa Ln, Palm Desert, CA 92260 2006-07-11
1760778559 Kelly Ellis Occupational Therapy Assistant 4109 Highway 98 W, Summit, MS 39666-9132 2011-06-21

Office Location

Street Address 585 S UNION ST
City SPARTA
State MI
Zip Code 49345-1505

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497278105 Sunkyo Seo Dentist 628 Lake Gerald Ct Ne, Sparta, MI 49345 2017-07-25
1811223050 Freeland Chiropractic Center P.C. Chiropractor 200 East Division Street, Sparta, MI 49345 2009-10-22
1306064720 Intercare Community Health Network Clinic/Center 540 South State Street, Sparta, MI 49345 2007-04-23
1861616427 Ann Elizabeth Fox Physical Therapist 31 Ida Red Avenue, Sparta, MI 49345 2007-04-12
1336215953 George David Freeland Chiropractor 200 E Division, Sparta, MI 49345 2006-11-27
1033204557 Dennis L Radke Dentist 72 East Division, Sparta, MI 49345 2006-10-03
1437190469 John Stephen Lange Dentist 62 N Union, Sparta, MI 49345 2006-06-09
1659335172 Home Town Pharmacy Inc Pharmacy 133 E Division, Sparta, MI 49345 2006-04-13
1336260298 Vorpi Chiropractic Inc Chiropractor 9161 Sparta Ave Nw, Suite E, Sparta, MI 49345 2007-04-02
1649300203 Lori Lynn Vorpi Chiropractor 9161 Sparta Ave Nw, Suite E, Sparta, MI 49345 2007-03-06
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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

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1972160745 Jennifer Deibert Keck Nurse Practitioner 7345 Jewelbrooke Dr Se, Grand Rapids, MI 49548-7323 2019-05-28
1053874248 Suzanne Kathleen Dubuque Nurse Practitioner 7743 Grand River Rd Ste 101, Brighton, MI 48114-9349 2019-04-13
1316419625 Chira Latrice Caldwell Nurse Practitioner 26080 Continental Cir, Taylor, MI 48180-6901 2018-12-27
1245741651 Michigan Born and Raised LLC Nurse Practitioner 2932 Chicago Dr Sw, Grandville, MI 49418-1176 2017-10-12
1700322708 Emily Strang Nurse Practitioner 909 W Maple Rd Ste 110, Clawson, MI 48017-1000 2017-01-13
1629446315 Women's Health Associates PC Nurse Practitioner 25150 Ford Rd Ste 200, Dearborn Heights, MI 48127-3163 2015-09-11
1003297664 Kimberly Porter Nurse Practitioner 1005 W Green St Ste 301, Hastings, MI 49058-1729 2015-06-09
1619390309 Bethany Bondy Nurse Practitioner 1651 Kingsway Ct Ste A, Trenton, MI 48183-1959 2014-01-30
1467793844 Robyn Lafrance Barnes Nurse Practitioner 18912 Indiana St, Detroit, MI 48221-2052 2013-03-08
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Competitor

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City SPARTA
Zip Code 49345

Improve Information

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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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