DR. DIANE LYNN ELLIS (NPI# 1982756078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982756078 |
| Entity Type | Individual |
| Full Name | DR. DIANE LYNN ELLIS |
| Credential | PHARM. D. |
| Practice Address |
8415 Bayshore Blvd Tampa FL 33621-1607 |
| Mailing Address |
15007 Meadowlake St. Odessa FL 33556-3156 |
| Practice Telephone | 8138279310 |
| Mailing Telephone | 8139203253 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | RPH015767 | GA | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | PS 25778 | FL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982091690 | Diane Carol Ellis | Social Worker | 5527 W Marconi Ave, Glendale, AZ 85306-2402 | 2015-04-20 |
| 1447448865 | Diane Elizabeth Ellis | Obstetrics & Gynecology | 461 S 400 E, Salt Lake City, UT 84111-3302 | 2007-10-10 |
| 1033147533 | Diane H. Ellis | Physical Therapist | 30 Peck Rd, Torrington, CT 06790-6123 | 2006-06-30 |
| 1770527426 | Diane Marlene Ellis | Psychologist | 323 E Grand St, Springfield, MO 65807-1447 | 2006-06-15 |
| 1609856277 | Diane S Ellis | Anesthesiology | 8000 E Maplewood Ave Ste 200, Greenwood Village, CO 80111-4727 | 2006-01-19 |
| Street Address |
8415 BAYSHORE BLVD |
| City | TAMPA |
| State | FL |
| Zip Code | 33621-1607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972597375 | Sylvan Howard Riker | Family Medicine | 8415 Bayshore Blvd, 6mdg, Tampa, FL 33621-1607 | 2005-08-31 |
| 1144451857 | John Dallas Leeah | Spec/Tech, Pathology | 8415 Bayshore Blvd, Tampa, FL 33621-1607 | 2009-07-29 |
| 1023248275 | Thomas Stuart Herman | Otolaryngology | 8415 Bayshore Blvd, Mdos/sgosl, Tampa, FL 33621-1607 | 2009-07-22 |
| 1538397898 | Nicole Gonzalez | Military Health Care Provider | 8415 Bayshore Blvd, Tampa, FL 33621-1607 | 2009-06-25 |
| 1184851529 | Angela Noel Messer | Military Health Care Provider | 8415 Bayshore Blvd, Tampa, FL 33621-1607 | 2009-06-12 |
| 1508091778 | Cynthia Marie Milanese | Military Health Care Provider | 8415 Bayshore Blvd, Tampa, FL 33621-1607 | 2009-05-18 |
| 1184868861 | Christopher Lawson | Military Health Care Provider | 8415 Bayshore Blvd, Tampa, FL 33621-1607 | 2009-04-27 |
| 1083850135 | Adrian Lee Avalos | Physician Assistant | 8415 Bayshore Blvd, Family Practice - Patriot Clinic, Tampa, FL 33621-1607 | 2008-12-19 |
| 1164675070 | 6 Medical Group | Military Hospital | 8415 Bayshore Blvd, Macdill Base, Tampa, FL 33621 | 2008-10-23 |
| 1396941597 | Ernestine R Harris | Counselor | 8415 Bayshore Blvd, Tampa, FL 33621-1607 | 2007-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134644750 | Kwanza Lincoln | Military Health Care Provider | 3520 Zemke Ave, Tampa, FL 33621 | 2017-08-04 |
| 1922407659 | Michelle Lind | Social Worker | 8126 Hangar Loop Dr, 927the Arw - Bldg 296, Room 231, Tampa, FL 33621 | 2014-08-19 |
| 1588932768 | Katherine Holmes | Physician Assistant | 6th Medical Group, 3250 Zemke Ave, Macdill Afb, FL 33621 | 2011-12-02 |
| 1558378273 | Graeme Charles Bicknell | Social Worker | 4815 Bayshore Blvd, 6th Medical Group, Tampa, FL 33621 | 2006-08-02 |
| 1659346146 | Laura Umfer | Psychologist | 4515 Bayshore Blvd, Tampa, FL 33621 | 2006-02-20 |
| 1205808516 | Kenneth Joseph Baron | Physician Assistant | 3250 Zemke Ave #1078, 6th Medical Group, Macdill Afb, FL 33621 | 2006-02-02 |
| 1760478044 | Michael Glenn Hodges | Family Medicine | 3250 Zerkle Avenue, Macdill Afb, FL 33621 | 2005-09-22 |
| 1003801242 | Heather Ann Newman | Nurse Anesthetist, Certified Registered | 6th Medical Group/sghc, 8415 Bayshore Blvd, Macdill Afb, FL 33621 | 2005-09-14 |
| 1861486789 | Daniel N. Park | Physician Assistant | Ussocom Clinic, 3250 Zemke Ave, Macdill Afb, FL 33621 | 2005-09-07 |
| 1811374002 | Sara Bender | Social Worker | 3250 Zemke Ave, Tampa, FL 33621 | 2015-04-27 |
| Find all providers in zip 33621 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093932 | David S Joseph | Pharmacist | 4712 Grainary Ave, Tampa, FL 33624-2106 | 2020-11-05 |
| 1639779226 | Robert Carl Borchard Jr. | Pharmacist | 4706 Cresson Ct, Tampa, FL 33624-4350 | 2020-11-01 |
| 1134729510 | Magaly Lozada | Pharmacist | 7011 West Waters Ave, Tampa, FL 33634 | 2020-10-27 |
| 1730787250 | Constantina Kolitsopoulos | Pharmacist | 2611 Bayshore Blvd Apt 1005, Tampa, FL 33629-7364 | 2020-10-16 |
| 1013522853 | Ellamy Lynne Rhoads | Pharmacist | 4308 N Coolidge Ave, Tampa, FL 33614-7757 | 2020-09-09 |
| 1356953152 | Howard Lawrence Mcleod | Pharmacist | 17003 Madres De Avila, Tampa, FL 33613-5234 | 2020-08-21 |
| 1912516311 | Olivia Simmons | Pharmacist | 15521 Carrillon Estates Blvd, Tampa, FL 33625-3303 | 2020-07-31 |
| 1235756503 | Omolade M Badero | Pharmacist | 3718 Jefferson Commons Dr Apt 301, Tampa, FL 33613-6481 | 2020-07-02 |
| 1518584317 | Puja Shah | Pharmacist | 10814 Cory Lake Dr, Tampa, FL 33647-2783 | 2020-06-29 |
| 1780208520 | Phillip Nguyen | Pharmacist | 12615 Stanwyck Cir, Tampa, FL 33626-4462 | 2020-06-07 |
| Find all providers in TAMPA | ||||
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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.