JORDAN ELLIS (NPI# 1891239901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891239901 |
| Entity Type | Individual |
| Full Name | JORDAN ELLIS |
| Practice Address |
5814 S 105th St Omaha NE 68127-2909 |
| Practice Telephone | 4023216867 |
| Mailing Telephone | 4023216867 |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2016-12-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1720534696 | Jordan E Ellis | Nurse Anesthetist, Certified Registered | 1836 South Ave, La Crosse, WI 54601-5429 | 2016-08-30 |
| Street Address |
5814 S 105TH ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68127-2909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891263604 | Lisa Ann Reyes | Massage Therapist | 7561 Main Street #402, Ralston, NE 68127 | 2018-11-09 |
| 1942709910 | Cardiac Cin of Omaha LLC | Internal Medicine | 4611 S 96th St Ste 254, Omaha, NE 68127 | 2018-02-06 |
| 1821510207 | Matthew Alan Olson | Pharmacist | 4828 South 91st Avenue Circle, Omaha, NE 68127 | 2017-07-07 |
| 1235663493 | Latifat Adekunle | Registered Nurse | 10011 J Street, Omaha, NE 68127 | 2017-04-14 |
| 1801341987 | Janelle Hill | Nurse Practitioner | 4610 S. 133rd Street Suite 109, Omaha, NE 68127 | 2016-08-18 |
| 1457713778 | Stephen Edward Wallace | Family Medicine | 6525 So. 100th Street, Omaha, NE 68127 | 2016-03-25 |
| 1669872537 | Christopher Charles Ihle | Counselor | 6550 S 84th St Ste 300, Omaha, NE 68127 | 2014-08-28 |
| 1831539048 | Airflow LLC | Durable Medical Equipment & Medical Supplies | 6221 S 90th St, Omaha, NE 68127 | 2013-07-02 |
| 1801130323 | Lilian Curtis | Social Worker | 4611 S 96th St Ste 225, Omaha, NE 68127 | 2012-11-21 |
| 1841546926 | Fidelity Home Health Care LLC | Home Health | 6650 S 84th Ave Ste 100a, Omaha, NE 68127 | 2012-07-26 |
| Find all providers in zip 68127 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184235673 | Cheyenne Janicek | Specialist/Technologist | 7630 Ontario St, Omaha, NE 68124-4035 | 2020-08-10 |
| 1508405598 | David H Edwards | Specialist/Technologist | 11230 Y St, Omaha, NE 68137-4671 | 2019-12-23 |
| 1851939409 | Isabelle Kathleen Kane | Specialist/Technologist | 5061 S 135th St Apt 5208, Omaha, NE 68137-1786 | 2019-12-13 |
| 1689211633 | Makeda Russ | Specialist/Technologist | 2927 S 148th St, Omaha, NE 68144-3257 | 2019-12-09 |
| 1215493721 | Alyssa Cohen | Specialist/Technologist | 17088 Weir St, Omaha, NE 68135-1432 | 2019-02-20 |
| 1881158475 | Addison Kathleen Thonen | Specialist/Technologist | 2506 N 157th St, Omaha, NE 68116-2026 | 2019-01-28 |
| 1437629631 | Andrew Thomas | Specialist/Technologist | 9405 Burt St Apt 1, Omaha, NE 68114-2500 | 2018-11-29 |
| 1669942264 | Sthephanie Alexandra Sanchez-padron | Specialist/Technologist | 3320 N 58th St, Omaha, NE 68104-3433 | 2018-11-27 |
| 1740750389 | Brett Skof | Specialist/Technologist | 6607 South 108th Court #210, Omaha, NE 68137 | 2018-11-27 |
| 1790254894 | Jacy Jenae Sparano | Specialist/Technologist | 5314 Holmes St, Omaha, NE 68117-1835 | 2018-11-19 |
| Find all providers in OMAHA | ||||
Please comment or provide details below to improve the information on JORDAN 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.