HOLLY ELLIS (NPI# 1912555095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912555095 |
| Entity Type | Individual |
| Full Name | HOLLY ELLIS |
| Practice Address |
107 Carpenter Dr Ste 210 Sterling VA 20164-4468 |
| Mailing Address |
711 Berry St Falls Church VA 22042-2401 |
| Practice Telephone | 7032974368 |
| Mailing Telephone | 5717307808 |
| Enumeration Date | 2019-08-31 |
| Last Update Date | 2019-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
0810004210 | VA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821401753 | Holly Lamb Ellis | Speech-Language Pathologist | 2604 Falls River Ave, Raleigh, NC 27614-9875 | 2014-06-09 |
| 1013027937 | Holly Ellis | Dentist | 9948 W 87th St, Suite K, Overland Park, KS 66212-4768 | 2006-08-30 |
| Street Address |
107 CARPENTER DR STE 210 |
| City | STERLING |
| State | VA |
| Zip Code | 20164-4468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902353360 | Alex Gibson | Counselor | 107 Carpenter Dr Ste 210, Sterling, VA 20164-4468 | 2016-09-02 |
| 1134732969 | Stephanie Vinnikov | Counselor | 107 Carpenter Dr Ste 210, Sterling, VA 20164-4468 | 2020-08-31 |
| 1689132557 | Laeli Sharifi | Behavior Technician | 107 Carpenter Dr Ste 210, Sterling, VA 20164-4468 | 2019-03-08 |
| 1124598115 | Michael Arthur | Psychologist | 107 Carpenter Dr Ste 210, Sterling, VA 20164-4468 | 2018-12-03 |
| 1609356799 | Ashley Lucinda Scott | Psychologist | 107 Carpenter Dr Ste 210, Sterling, VA 20164-4468 | 2018-08-17 |
| 1336629583 | Krina Patel | Psychologist | 107 Carpenter Dr Ste 210, Sterling, VA 20164 | 2018-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255962239 | Ying Jiu Liu | Acupuncturist | 45665 W Church Rd #110 Stering, Stering, VA 20164 | 2020-01-29 |
| 1417599986 | Nab Homecare, Inc. | In Home Supportive Care | 45640 Willow Pond Plaza, Suite 100, Sterling, VA 20164 | 2019-10-16 |
| 1962905323 | Grace A Oluwadiya | Registered Nurse | 21335 Signal Hill Plaza, Suite 270, Sterling, VA 20164 | 2018-03-13 |
| 1922468602 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 21399 Epicerie Plaza, Sterling, VA 20164 | 2016-02-24 |
| 1942625603 | Totalmobility LLC | Durable Medical Equipment & Medical Supplies | 201 Davis Drive, Suite Nn, Sterling, VA 20164 | 2014-03-04 |
| 1346689189 | Traci Collier | Pharmacist | 22375 Davis Dr, Sterling, VA 20164 | 2013-06-14 |
| 1770842536 | Costco Pharmacy 218 | Clinic/Center | 21398 Price Cascades Plaza, Sterling, VA 20164 | 2012-05-14 |
| 1922371426 | Totalmobility, LLC | Durable Medical Equipment & Medical Supplies | 111k Carpenter Drive, Sterling, VA 20164 | 2012-02-14 |
| 1750676789 | Sheikh M Rasul | Pharmacist | 20600 Great Falls Plaza, Sterling, VA 20164 | 2011-06-17 |
| 1932260114 | Veena Railan | Family Medicine | 101 E.holly Avenue, Unit 9, Sterling, VA 20164 | 2006-12-12 |
| Find all providers in zip 20164 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619516812 | Sean Hayes | Psychologist | 45575 Shepard Dr Ste 101, Sterling, VA 20164-4409 | 2020-01-06 |
| 1215573159 | Diana Davis | Psychologist | 21351 Gentry Dr Ste 200, Sterling, VA 20166-8512 | 2019-11-26 |
| 1598228421 | Beatrice Craiu | Psychologist | 46179 Westlake Dr Ste 340, Sterling, VA 20165-5874 | 2019-04-08 |
| 1922578459 | Crisrina Siervo-lubian | Psychologist | 46179 Westlake Dr Ste 250, Sterling, VA 20165-5882 | 2018-11-27 |
| 1518304641 | Institute for The Psychological Sciences | Psychologist | 45154 Underwood Ln., Sterling, VA 20166 | 2013-05-30 |
| 1497940225 | Joycelyn Wildgoose | Psychologist | 58 Millard Ct, Sterling, VA 20165-6018 | 2007-09-14 |
| 1255547485 | David A Mccown | Psychologist | 6 Pidgeon Hill Dr Ste 260, Sterling, VA 20165-6147 | 2007-05-15 |
| 1598899650 | Margarita Elizabeth Franco-mattei | Psychologist | 46803 Keswick Sq, Sterling, VA 20165-3545 | 2007-03-14 |
| 1669510467 | Robert Roy Segerstrom | Psychologist | 224 S Second Street, Sterling, CO 80751 | 2007-02-02 |
| 1376154211 | Desiree Lee Vyas | Psychologist | 21155 Whitfield Pl Ste 202, Sterling, VA 20165-7277 | 2020-08-13 |
| Find all providers in STERLING | ||||
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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.