TRACY ELLIS (NPI# 1962890426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962890426 |
| Entity Type | Individual |
| Full Name | TRACY ELLIS |
| Practice Address |
9499 W Charleston Blvd Ste 200 Las Vegas NV 89117-7150 |
| Practice Telephone | 7028699983 |
| Mailing Telephone | 7028699983 |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2015-01-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZS0410X |
Specialist/Technologist, Other Specialization: Surgical Technologist |
153753 | NV | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992273734 | Tracy Ellis | Psychologist | 70 N Main St Ste 104, Bountiful, UT 84010-6115 | 2018-11-09 |
| 1669080180 | Tracy Ellis | Behavior Technician | 8805 W 14th Ave, Suite 100, Lakewood, CO 80215-4848 | 2020-07-21 |
| 1649664442 | Tracy Jo Ellis | Contractor | 157 W Hayden Ave, Hayden Lake, ID 83835-9650 | 2015-03-19 |
| 1982974622 | Tracy Kent Ellis | Behavioral Analyst | 900 N Broadway St, Poteau, OK 74953-2617 | 2012-01-11 |
| 1679895700 | Tracy Ellis | Chiropractor | 10317 Greenbriar Pkwy, Oklahoma City, OK 73159-7648 | 2010-02-16 |
| 1326292707 | Tracy Ellis | Rehabilitation Practitioner | 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824 | 2008-11-11 |
| Street Address |
9499 W CHARLESTON BLVD STE 200 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89117-7150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902807613 | Steven C Thomas | Orthopaedic Surgery | 9499 W Charleston Blvd, Ste 200, Las Vegas, NV 89117-7147 | 2005-08-03 |
| 1689130700 | Aaron James Burley | Nurse Practitioner | 9499 W Charleston Blvd, Las Vegas, NV 89117-7150 | 2019-02-13 |
| 1679013718 | Aysa Marcela Chavarria | Nurse Practitioner | 9499 W Charleston Blvd, Las Vegas, NV 89117-7150 | 2017-03-07 |
| 1063968600 | Ann Kathrin Roberts | Specialist/Technologist, Other | 9499 W Charleston Blvd, Ste 200, Las Vegas, NV 89117 | 2016-09-01 |
| 1336593086 | Shawana Moss | Specialist/Technologist, Other | 9499 W Charleston Blvd, Suite 200, Las Vegas, NV 89117-7150 | 2016-04-19 |
| 1326442484 | Knee and Shoulder Institute | Specialist/Technologist, Other | 9499 W Charleston Blvd, Ste 200, Las Vegas, NV 89117-7150 | 2014-10-20 |
| 1447503644 | Asbel T. Caligagan | Nurse Practitioner | 9499 W Charleston Blvd, Suite 150, Las Vegas, NV 89117-7150 | 2012-10-25 |
| 1588929962 | Dan Wruck | Technician, Other | 9499 W Charleston Blvd, Ste 200, Las Vegas, NV 89117-7150 | 2012-07-11 |
| 1033476023 | Evensen and Trippi Mens Health Pllc | Family Medicine | 9499 W Charleston Blvd, Suite 270, Las Vegas, NV 89117-7150 | 2012-04-16 |
| 1235413386 | Mirror Imaging | Radiologic Technologist | 9499 W Charleston Blvd, Ste 100, Las Vegas, NV 89117-7150 | 2011-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962016923 | Nick Marte | Massage Therapist | 8321 W Sahara Ave 2057, Las Vegas, NV 89117 | 2020-09-06 |
| 1831709740 | Marizel Yukee | Nurse Practitioner | 3086 Lapis Beach Dr, Las Vegas, NV 89117 | 2020-08-05 |
| 1336762525 | Mashiko Jenny Tavares | Sleep Specialist, PhD | 1711 Songlight Court, Las Vegas, NV 89117 | 2020-05-21 |
| 1235772849 | Cornelia Darlau | Counselor | 2753 Lodestone Drive, Las Vegas, NV 89117 | 2019-10-26 |
| 1861034837 | Luz Aguirre | Technician | 9105 Quiet Cove Way, Las Vegas, NV 89117 | 2019-10-11 |
| 1043778566 | Maggie Lynn Steel | Occupational Therapist | 7621 W Charleston Blvd, Unit 101, Las Vegas, NV 89117 | 2019-03-04 |
| 1154805356 | Joyce Ingram | Counselor | 8600 Starboard Dr Apt 2100, Las Vegas, NV 89117 | 2018-09-24 |
| 1356823421 | Pari Garza | Chore Provider | 9825 Paseo Cresta Ave., Las Vegas, NV 89117 | 2018-09-05 |
| 1235624297 | Creative Family Health & Wellness Center | Case Management | 6849 W Charleston Blvd Ste B, Las Vegas, NV 89117 | 2018-06-22 |
| 1790272524 | Las Vegas Sleep Center ( Shamiya) Pllc | Clinic/Center | 2400 S Cimarron Rd, Suite 130, Las Vegas, NV 89117 | 2018-04-17 |
| Find all providers in zip 89117 | ||||
| Taxonomy Code | 246ZS0410X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Technologist |
| Surgical technologists are allied health professionals, who are an integral part of the team of medical practitioners providing surgical care to patients. Surgical technologists work under the supervision of a surgeon to facilitate the safe and effective conduct of invasive surgical procedures, ensuring that the operating room environment is safe, that equipment functions properly, and that the operative procedure is conducted under conditions that maximize patient safety. Surgical technologists possess expertise in the theory and application of sterile and aseptic technique and combine the knowledge of human anatomy, surgical procedures, and implementation tools and technologies to facilitate a physician's performance of invasive therapeutic and diagnostic procedures. |
| Notes: Source: Association of Surgical Technologists, "Job Description: Surgical Technologist," 2014. [7/1/2014: code modified, title modified, definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740473222 | Tia Dawn Jackson | Specialist/Technologist, Other | 9499 N Charleston Blvd, Suite 250, Las Vegas, NV 89117 | 2007-08-20 |
| 1033683404 | Marissa Chesebro | Specialist/Technologist, Other | 9499 W Charleston Blvd Ste 250, Las Vegas, NV 89117-7148 | 2019-01-17 |
| 1750855110 | Morgan Bartz | Specialist/Technologist, Other | 9499 W Charleston Blvd Ste 250, Las Vegas, NV 89117-7148 | 2019-01-17 |
| 1861941924 | Lisa Woolley | Specialist/Technologist, Other | 9499 W Charleston Blvd Ste 200, Las Vegas, NV 89117-7147 | 2016-09-29 |
| 1710273008 | Glaucia G.r. Goncalves | Specialist/Technologist, Other | 8960 W. Tropicana Avenue, 500, Las Vegas, NV 89147-8139 | 2011-06-24 |
| 1306143029 | Jeff P Walker | Specialist/Technologist, Other | 9499 W Charleston Blvd, Suite 250, Las Vegas, NV 89117-7150 | 2011-02-15 |
| 1205083847 | Angel Jesus Pantaleon-morales | Specialist/Technologist, Other | 9499 W Charleston Blvd, Suite 250, Las Vegas, NV 89117-7147 | 2008-08-26 |
| 1063682698 | Kareem Russell | Specialist/Technologist, Other | 2800 E Desert Inn Rd Ste 100, Las Vegas, NV 89121-3609 | 2008-03-11 |
| 1770707796 | Jose Luis Zeron | Specialist/Technologist, Other | 701 S Tonopah Dr, Las Vegas, NV 89106-4030 | 2007-04-12 |
| 1285858217 | Alex Seda | Specialist/Technologist, Other | 2680 Crimson Canyon Dr, Las Vegas, NV 89128-0841 | 2007-04-12 |
| Find all providers in LAS VEGAS | ||||
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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.