MS. DEMETRIA ELLIS (NPI# 1972164564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972164564 |
| Entity Type | Individual |
| Full Name | MS. DEMETRIA ELLIS |
| Practice Address |
710 Evans St Emporia VA 23847-1358 |
| Practice Telephone | 4345329303 |
| Mailing Telephone | 4345329303 |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2019-06-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172A00000X | Driver | VA | Other Service Providers |
| Street Address |
710 EVANS ST |
| City | EMPORIA |
| State | VA |
| Zip Code | 23847-1358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831689454 | Laniesha Stephens Dunn | Social Worker | 407 Halifax St Ste 3, Emporia, VA 23847 | 2018-05-18 |
| 1073016382 | Audrey O Brown | Private Vehicle | 2926 Slagles Road, Emporia, VA 23847 | 2018-03-13 |
| 1598280844 | Daisy's Transportation LLC | Driver | 710 N. Main Street, Emporia, VA 23847 | 2017-08-08 |
| 1336486836 | From Start 2 Finish Counseling Services, Inc | Community/Behavioral Health | 425d South Main Street, Emporia, VA 23847 | 2013-01-03 |
| 1316245681 | William Robert Shannonhouse Jr. | Pharmacist | 220 Market Drive, Emporia, VA 23847 | 2011-03-10 |
| 1669791984 | District 19 Community Services Board | Nursing Care | 502 Sadler Dr, Emporia, VA 23847 | 2010-05-26 |
| 1740310143 | Harold J Neal, Jr. Dds, PC | Dentist | 508 Belfield Dr., Emporia, VA 23847 | 2007-03-06 |
| 1376637504 | Charles V Omick | Nurse Anesthetist, Certified Registered | 727 North Main Street, Emporia, VA 23847 | 2006-10-03 |
| 1669496030 | Prince Squire Medical Center PC | Family Medicine | 219 Weaver Avenue, Emporia, VA 23847 | 2006-07-27 |
| 1003838442 | Marcelin Medical Center | Clinic/Center | 137 Baker Sreet, Emporia, VA 23847 | 2006-07-24 |
| Find all providers in zip 23847 | ||||
| Taxonomy Code | 172A00000X |
| Grouping | Other Service Providers |
| Classification | Driver |
| A person employed to operate a motor vehicle as a carrier of persons or property. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659897007 | Warren Tomlinson Jr. | Driver | 860 Brickyard Rd, Emporia, VA 23847-6518 | 2017-08-17 |
| 1457876336 | Carolyn Halsey | Driver | 588 Camp Ground Rd, Emporia, VA 23847-5748 | 2017-08-11 |
| 1598280844 | Daisy's Transportation LLC | Driver | 710 N. Main Street, Emporia, VA 23847 | 2017-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385375 | David Lee Rosenbaum | Driver | 127 Hemlock St, Marion, VA 24354-4403 | 2020-10-31 |
| 1902404627 | Kevin Mercer | Driver | 703 W 14th St, Front Royal, VA 22630-2915 | 2020-10-14 |
| 1417554288 | Kenneth Donnell Coles | Driver | 44 W Sherwood Ave, Hampton, VA 23663-1403 | 2020-10-05 |
| 1992302673 | Rodney Larmont Carter Sr. | Driver | 205 Maple Springs Dr, Axton, VA 24054-2303 | 2020-10-05 |
| 1487261921 | Chantrise N Ratliff | Driver | 553 Jessica Cir, Newport News, VA 23606-3761 | 2020-09-29 |
| 1285240523 | Burley Walter Ball Jr. | Driver | 4313 Buckingham Rd, Coeburn, VA 24230 | 2020-09-22 |
| 1639785918 | Randy Bell | Driver | 6113 W Stonepath Garden Dr, Chester, VA 23831-3730 | 2020-09-22 |
| 1700498300 | Lisa Foster | Driver | 9562 19th Bay St Apt A, Norfolk, VA 23518-6211 | 2020-08-17 |
| 1437769213 | Marvin L Harris | Driver | 29 Ridgewood Pkwy, Newport News, VA 23608-1918 | 2020-08-05 |
| 1003425422 | T'onna Logan Clary | Driver | 18029 Highway Fifty Eight, Boydton, VA 23917-2820 | 2020-07-31 |
| Find all providers with the same taxonomy | ||||
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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.