NICOLE ELLIS (NPI# 1922231893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922231893 |
| Entity Type | Individual |
| Full Name | NICOLE ELLIS |
| Credential | DPT |
| Practice Address |
7419 Granby St Norfolk VA 23505-3406 |
| Practice Telephone | 7574895820 |
| Practice Fax Number | 7574895822 |
| Mailing Telephone | 7574895820 |
| Mailing Fax Number | 7574895822 |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2009-08-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 2305205979 | VA | Other Service Providers |
| N | 225100000X | Physical Therapist | 2305205979 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053633669 | Nicole Ellis | Counselor | 1951 Alamanda Ct, Navarre, FL 32566-7658 | 2010-02-23 |
| 1679707871 | Nicole Alexandria Ellis | Acupuncturist | 2809 Rockefeller Ave Ste A, Everett, WA 98201-3541 | 2009-05-04 |
| 1164580106 | Nicole Renee Ellis | Counselor | 108 Christine Way, Elizabethtown, KY 42701-9681 | 2006-12-04 |
| 1568078665 | Nicole C Ellis | Behavior Technician | 225 Cedar Hill St Ste 200, Marlborough, MA 01752-5900 | 2020-09-23 |
| 1013548478 | Nicole Ellis | Occupational Therapy Assistant | 2868 Beltagh Avenue, Bellmore, NY 11710 | 2020-02-03 |
| 1720632995 | Nicole Ellis | Speech-Language Pathologist | 11030 Raven Ridge Rd Ste 101, Raleigh, NC 27614-8512 | 2019-07-26 |
| 1023467966 | Nicole Ellis | Counselor | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2016-06-10 |
| 1710335237 | Nicole Grace Ellis | Physical Therapist | 7055 High Grove Blvd, Burr Ridge, IL 60527-7628 | 2016-05-25 |
| 1467850453 | Nicole Ellis | Case Management | 1330 N Classen Blvd, Suite 302, Oklahoma City, OK 73106-6835 | 2014-12-08 |
| 1861812877 | Nicole Ellis | Counselor | 545 Laurel St, San Diego, CA 92101-1634 | 2014-04-17 |
| Street Address |
7419 GRANBY ST |
| City | NORFOLK |
| State | VA |
| Zip Code | 23505-3406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023078490 | Stacy Hope Smith | Physical Therapist | 7419 Granby St, North Shore Sports & Physical Therapy, Norfolk, VA 23505-3406 | 2006-03-28 |
| 1194360180 | Ethan Emmons | Physical Therapist | 7419 Granby St, Norfolk, VA 23505-3406 | 2019-11-13 |
| 1992085195 | Jonathan Cary Angle | Physical Therapy Assistant | 7419 Granby St, Norfolk, VA 23505-3406 | 2011-08-19 |
| 1639470909 | Sharon Komenda | Physical Therapy Assistant | 7419 Granby St, Norfolk, VA 23505-3406 | 2010-11-03 |
| 1083920615 | Julia A Mains | Physical Therapy Assistant | 7419 Granby St, Norfolk, VA 23505-3406 | 2010-08-20 |
| 1053544874 | Elizabeth Ann Smyder | Physical Therapist | 7419 Granby St, Norfolk, VA 23505-3406 | 2009-08-27 |
| 1922262419 | Denise Lynn Morrison | Physical Therapist | 7419 Granby St, Norfolk, VA 23505-3406 | 2008-07-14 |
| 1295940005 | North Shore Sports & Physical Therapy Limited Partnership | Durable Medical Equipment & Medical Supplies | 7419 Granby St, Norfolk, VA 23505-3406 | 2007-05-14 |
| 1558573766 | Lori Meryl Tinkle | Physical Therapist | 7419 Granby St, Norfolk, VA 23505-3406 | 2007-05-03 |
| 1508972886 | Rebecca Ann Cobb | Physical Therapist | 7419 Granby St, Norfolk, VA 23505-3406 | 2006-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154844256 | Cassandra Shelton | Specialist/Technologist, Other | 100 Kingsley Lane, Norfolk, VA 23505 | 2017-07-20 |
| 1063942852 | Gabriela Marie Santiago | Specialist/Technologist | 7600 Victory Dr, Apt 3, Norfolk, VA 23505 | 2017-06-14 |
| 1144776725 | Amr Hassan | Pharmacist | 1610 W Little Creek Rd, Apt 204, Norfolk, VA 23505 | 2016-09-01 |
| 1992175095 | Heather Mitchell | Nurse Practitioner | 110 Kingsley Ln Ste 309, Norfolk, VA 23505 | 2015-10-01 |
| 1255710620 | Jessica Ann Kestranek | Dentist | 7400 Granby St Ste D, Norfolk, VA 23505 | 2015-05-19 |
| 1710375274 | Carla Toledo | Nurse Practitioner | 155 Kingsley Lane, Suite 400, Norfolk, VA 23505 | 2015-01-06 |
| 1417359746 | James Austin Valone Jr. | Ophthalmology | 1423 Runymede Rd, Norfolk, VA 23505 | 2014-09-18 |
| 1861813370 | Harris Teeter, LLC | Pharmacy | 7550 Granby Street, Norfolk, VA 23505 | 2013-12-31 |
| 1649549361 | Linda Horsey | Social Worker | 7510 Granby Street, Suite 6, Norfolk, VA 23505 | 2011-12-27 |
| 1679705164 | Carolyn Lee Kee | Nurse's Aide | 7403 Hampton Blvd, Norfolk, VA 23505 | 2009-08-17 |
| Find all providers in zip 23505 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952818189 | Gabrielle Dorann Martineau | Specialist | 52 Pleasant Dr, Norfolk, NY 13667-3296 | 2018-01-09 |
| 1548704570 | Nicole Anthony | Specialist | 242 W 26th St, Norfolk, VA 23517-1312 | 2016-12-09 |
| 1497206692 | Ruth Short | Specialist | 28 Sober St, Norfolk, NY 13667-4147 | 2016-10-23 |
| 1053742676 | Ericka D. Thompson | Specialist | 400 W Brambleton Ave Ste 300, Norfolk, VA 23510-1115 | 2013-12-07 |
| 1831476472 | Lorena Decker | Specialist | 870 N Military Hwy, 310, Norfolk, VA 23502-3638 | 2011-11-10 |
| 1568609857 | Terry Escobar | Specialist | 6200 Curlew Dr, Norfolk, VA 23502-4718 | 2009-01-08 |
| 1609011568 | Parker Babington | Specialist | 301 Riverview Ave Ste 400, Norfolk, VA 23510-1065 | 2008-12-07 |
| 1902094022 | Retinal Consultants Inc | Specialist | 400 Gresham Dr Ste 802, Norfolk, VA 23507-1901 | 2007-10-15 |
| 1720272594 | Jennifer Z Vevoda | Specialist | 171 Kempsville Rd Bldg A1, Norfolk, VA 23502-4700 | 2007-09-05 |
| 1770704819 | The Orthopaedic Center for Foot & Ankle Reconstruction | Specialist | 100 Kingsley Ln Ste 300, Norfolk, VA 23505-4613 | 2007-05-02 |
| Find all providers in NORFOLK | ||||
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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.