MRS. KIMBERLY Y ELLIS (NPI# 1023531340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023531340 |
Entity Type | Individual |
Full Name | MRS. KIMBERLY Y ELLIS |
Practice Address |
7365 Granville Dr Mansfield TX 76063-4647 |
Practice Telephone | 4696579165 |
Practice Fax Number | 4696579165 |
Mailing Telephone | 4696579165 |
Enumeration Date | 2017-07-18 |
Last Update Date | 2017-07-18 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245746908 | Kimberly Ellis | Behavior Technician | 850 13th St, Newport News, VA 23607-6420 | 2017-12-18 |
1104066299 | Kimberly R Ellis | Counselor | 307 Carpenter Dam Rd Ste B, Hot Springs, AR 71901-8282 | 2009-03-02 |
1619004413 | Kimberly Anne Ellis | Registered Nurse | 155 Cloverdale Rd, Rochester, NY 14616-3254 | 2007-02-27 |
1174603054 | Kimberly S Ellis | Physical Therapist | 10613 Ne 174th Pl, Bothell, WA 98011-3777 | 2006-10-16 |
1891703476 | Kimberly Ellis | Family Medicine | 8423 S Us Highway 1, Port Saint Lucie, FL 34952-3358 | 2006-08-03 |
1265084461 | Kimberly Ellis | Social Worker | 111 South St, Somerville, MA 02143-4297 | 2019-07-09 |
1306353818 | Kimberly Tonine Ellis | Counselor | 101 Carpenter Pl, Monroe, NY 10950-3592 | 2018-01-05 |
1609328954 | Kimberly Ellis | Case Manager/Care Coordinator | 1400 Parkmoor Ave Ste 115, San Jose, CA 95126-3797 | 2016-11-02 |
1073998399 | Kimberly Ellis | Dentist | 5915 W State Road 46, Bloomington, IN 47404-9359 | 2015-07-28 |
1700220936 | Kimberly Kone Ellis | Family Medicine | 3939 Medical Dr, Ste 100, San Antonio, TX 78229-2291 | 2013-04-18 |
Street Address |
7365 GRANVILLE DR |
City | MANSFIELD |
State | TX |
Zip Code | 76063-4647 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316558349 | Lindsey Vandyke, D.o. Pllc | Internal Medicine | 3150 E Broad Street, Ste 100, Mansfield, TX 76063 | 2020-08-13 |
1942819867 | Jennifer Que Chau Nguyen | Pharmacist | 980 U.S. 287 Frontage Rd #287, Mansfield, TX 76063 | 2020-07-27 |
1194346890 | Ana Maria Gonzalez | Dentist | 1600 Us Highway 287, Suite 102, Mansfield, TX 76063 | 2020-05-04 |
1245869080 | Stateserv Medical of Texas, LLC | Durable Medical Equipment & Medical Supplies | 7941 Rodeo Trail, Mansfield, TX 76063 | 2020-04-03 |
1649802232 | Mary Puanani Kamai | Nurse Practitioner | 1301 E. Debbie Lane, Suite 102 #1405, Mansfield, TX 76063 | 2020-02-11 |
1770123028 | Gladys Vera Nfodzo | Nurse Practitioner | 901 W. Broad St, Mansfield, TX 76063 | 2020-01-14 |
1669011300 | Alexa Smith | Nurse Practitioner | 2800 E Broad St #304, Mansfield, TX 76063 | 2019-12-28 |
1477190437 | Mel Rockwall LLC | Optometrist | 1701 East Broad Street, Ste 109, Mansfield, TX 76063 | 2019-12-09 |
1376185512 | Daniel Max & Marcandrea LLC | Optometrist | 1701 East Broad St., Ste 109, Mansfield, TX 76063 | 2019-10-09 |
1861046385 | Lacey Eaton | Counselor | 805 Killian Dr, Mansfield, TX 76063 | 2019-08-01 |
Find all providers in zip 76063 |
Taxonomy Code | 373H00000X |
Grouping | Nursing Service Related Providers |
Classification | Day Training/Habilitation Specialist |
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497269104 | Beverly Lauderdale Giddings | Day Training/Habilitation Specialist | 1008 Wedgewood Dr, Mansfield, TX 76063-2804 | 2017-11-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952909616 | Roslyns Senior Lifestyle Center LLC | Day Training/Habilitation Specialist | 21040 Highland Knolls Dr Ste 200-437, Katy, TX 77450-1570 | 2020-10-15 |
1548873482 | Ononuju Justin Emeka | Day Training/Habilitation Specialist | 4423 Sierra Point Dr, Fresno, TX 77545-6057 | 2020-08-29 |
1417574864 | Jennifer Jeanette Wells | Day Training/Habilitation Specialist | 105 S Chenango St, Angleton, TX 77515-6080 | 2020-07-01 |
1831727106 | David Pomerantz | Day Training/Habilitation Specialist | 810 Marston St, Houston, TX 77019-1706 | 2020-03-31 |
1407496227 | Kimberly Pipkin Wilder | Day Training/Habilitation Specialist | 5703 South Acres, Houston, TX 77048 | 2020-01-09 |
1366089708 | Rebecca Kaye Parker | Day Training/Habilitation Specialist | 105 E Marshall St, Gilmer, TX 75644-2225 | 2019-12-04 |
1912559774 | Jennifer Jenkins | Day Training/Habilitation Specialist | 272 Buttercup Ln, Dallas, TX 75217-7201 | 2019-07-11 |
1295397594 | Leticia Q Munoz | Day Training/Habilitation Specialist | 2461 Highway 59 E, 3408 Fm 673, Beeville, TX 78102-7810 | 2019-07-08 |
1245700871 | Reginald Deloatch | Day Training/Habilitation Specialist | 4123 Cedar Springs Roafd, Apt. 2332, Dallas, TX 75219 | 2018-11-27 |
1811480544 | First Baptist Church Sunnyvale | Day Training/Habilitation Specialist | 3018 N Belt Line Rd, Sunnyvale, TX 75182-9346 | 2018-06-07 |
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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.