MRS. KIMBERLY Y ELLIS


Address: 7365 Granville Dr, Mansfield, TX 76063-4647
Phone: 4696579165

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 373H00000X Day Training/Habilitation Specialist Nursing Service Related Providers

Other Providers KIMBERLY ELLIS

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

Office Location

Street Address 7365 GRANVILLE DR
City MANSFIELD
State TX
Zip Code 76063-4647

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 373H00000X
Grouping Nursing Service Related Providers
Classification Day Training/Habilitation Specialist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497269104 Beverly Lauderdale Giddings Day Training/Habilitation Specialist 1008 Wedgewood Dr, Mansfield, TX 76063-2804 2017-11-17

Providers in the same taxonomy and state

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
Find all providers with the same taxonomy

Competitor

Search similar providers

City MANSFIELD
Zip Code 76063

Improve Information

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Dataset Information

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.

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