DR. SANDRA JEAN ELLIS (NPI# 1033129077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033129077 |
| Entity Type | Individual |
| Full Name | DR. SANDRA JEAN ELLIS |
| Credential | M.D. |
| Practice Address |
2200 Fort Roots Dr North Little Rock AR 72114-1709 |
| Practice Telephone | 5012573131 |
| Mailing Telephone | 5012573131 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
E0938 | AR | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598130049 | Sandra Sue Ellis | Counselor | 20102 Cedar Valley Rd Ste 106, Lynnwood, WA 98036-6333 | 2015-12-09 |
| 1861419491 | Sandra L Ellis | Internal Medicine | 214 Morrison Rd Ste 110, Brandon, FL 33511-4849 | 2006-07-17 |
| 1396275301 | Sandra Ellis | Physical Therapist | 3131 Tom Austin Hwy, Springfield, TN 37172-4801 | 2017-06-13 |
| 1952683906 | Sandra Ellis | Pharmacist | 530 Mid Rivers Mall Dr, Saint Peters, MO 63376-2150 | 2011-09-15 |
| 1609040955 | Sandra I Ellis | Marriage & Family Therapist | 345 Riverview St, Ll2, Wichita, KS 67203-4200 | 2008-04-17 |
| 1003028390 | Sandra Huddleston Ellis | Registered Nurse | 201 Dooley St Se, Cleveland, TN 37311-6220 | 2007-05-07 |
| 1962413096 | Sandra Kase Ellis | Audiologist | 1600 E Jefferson St, Suite 202, Seattle, WA 98122-5698 | 2006-08-11 |
| Street Address |
2200 FORT ROOTS DR |
| City | NORTH LITTLE ROCK |
| State | AR |
| Zip Code | 72114-1709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750388401 | Ivy V Mcgee | Family Medicine | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2005-07-07 |
| 1477161586 | Kaila Mitchell | Psychologist | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2020-07-15 |
| 1689200040 | Tonie Brenee' Williams | Social Worker | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2020-03-18 |
| 1447899646 | Eugenia Boozer | Clinical Neuropsychologist | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2020-01-06 |
| 1376181263 | Linda Shrader | Technician | 2200 Fort Roots Dr, North Little Rock, AR 72114 | 2019-12-11 |
| 1205470507 | Julie Renee Thyberg | Technician | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2019-10-30 |
| 1588215966 | Venius Vernester Russell | Technician | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2019-09-26 |
| 1538718119 | Mary Kathryn Martin | Technician | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2019-09-06 |
| 1689223596 | Meriline White | Technician | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2019-09-04 |
| 1124677943 | Felicia Clayton | Technician | 2200 Fort Roots Dr, North Little Rock, AR 72114 | 2019-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316432966 | Mid State Counseling and Recovery Service | Clinic/Center | 1920 Main St Ste 229, North Little Rock, AR 72114 | 2018-06-26 |
| 1053826842 | Kelli Lauron Johnson | Nurse Practitioner | 2800 North Willow Street, North Little Rock, AR 72114 | 2017-12-03 |
| 1689117756 | State of Arkansas | Skilled Nursing Facility | 2401 John Ashley Drive, Building #100, North Little Rock, AR 72114 | 2016-11-22 |
| 1366787459 | J Andrew Mccullough | Counselor | 628 W Broadway St Ste 300, North Little Rock, AR 72114 | 2012-11-30 |
| 1598071490 | Roger Elliott Hicks IIi | Counselor | 2200 Fort Roots Dr # 3d, North Little Rock, AR 72114 | 2010-08-30 |
| 1740594456 | Tuyet Thi Van | Dentist | 520 W. Pershing Blvd., North Little Rock, AR 72114 | 2010-08-05 |
| 1467764183 | Jennifer Leigh Nash | Behavioral Analyst | 628 W Broadway St Ste 100, North Little Rock, AR 72114 | 2010-07-10 |
| 1336398544 | Tina A Davie | Registered Nurse | 2200 Foot Roots Drive, Little Rock, AR 72114 | 2008-09-11 |
| 1316125313 | Centers for Youth & Families | Community/Behavioral Health | 200 W. 20th, North Little Rock, AR 72114 | 2008-02-01 |
| 1881878064 | Marie A Graham | Nurse Practitioner | 636 West Broadway St, No Little Rock, AR 72114 | 2007-12-24 |
| Find all providers in zip 72114 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134690472 | General Health Services of Arkansas | Psychiatry & Neurology | 813 Cache River Rd, North Little Rock, AR 72116-6363 | 2018-12-16 |
| 1689017550 | Anil Krishna Bachu | Psychiatry & Neurology | 3401 Springhill Dr Ste 240, North Little Rock, AR 72117-2926 | 2013-04-10 |
| 1285871293 | Hope Healing Behavioral Healthcare,p.a. | Psychiatry & Neurology | 4702 W Commercial Dr Ste C, North Little Rock, AR 72116-7073 | 2009-01-13 |
| 1831103134 | Eugene John Kuc | Psychiatry & Neurology | 2200 Fort Roots Dr # 116f2nlr, Building 170, Unit 1l, Room 1l-111, North Little Rock, AR 72114-1709 | 2006-07-29 |
| 1487634432 | James Mannon Sims | Psychiatry & Neurology | 3805 Mccain Park Dr, Suite 116, North Little Rock, AR 72116-7803 | 2006-01-17 |
| 1497734263 | Paula M. Lynch | Psychiatry & Neurology | 1912 Waterside Dr., North Little Rock, AR 72116-9254 | 2006-01-11 |
| 1932528478 | Sidney Winford | Psychiatry & Neurology | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2014-04-14 |
| 1689092678 | Holly Sherrill | Psychiatry & Neurology | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2014-04-07 |
| 1407274277 | Jessica Stovall | Psychiatry & Neurology | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2014-03-31 |
| 1174813067 | Danielle N Bell | Psychiatry & Neurology | 21 Bridgeway Rd, North Little Rock, AR 72113-9514 | 2011-04-12 |
| Find all providers in NORTH LITTLE ROCK | ||||
| City | NORTH LITTLE ROCK |
| Zip Code | 72114 |
Please comment or provide details below to improve the information on DR. SANDRA JEAN ELLIS.
| 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.