TISHA KIM ELLIS (NPI# 1164058723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164058723 |
Entity Type | Individual |
Full Name | TISHA KIM ELLIS |
Credential | APRN, PMHNP-BC |
Practice Address |
1120 6th Corso Nebraska City NE 68410-2747 |
Practice Telephone | 4027130110 |
Practice Fax Number | 4027130285 |
Mailing Telephone | 4027130110 |
Mailing Fax Number | 4027130285 |
Enumeration Date | 2020-03-16 |
Last Update Date | 2020-04-15 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
113116 | NE | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1120 6TH CORSO |
City | NEBRASKA CITY |
State | NE |
Zip Code | 68410-2747 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164838967 | Lindsey Teten | Nurse Practitioner | 1120 6th Corso, Nebraska City, NE 68410-2747 | 2014-07-01 |
1801422357 | Beneficent4u LLC | Clinic/Center | 1120 6th Corso, Nebraska City, NE 68410-2747 | 2020-03-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689987158 | Shelly R Benshoof | Counselor | 917 Wildwood Lane, Suite 153, Nebraska City, NE 68410 | 2010-07-26 |
1346579778 | Kvc Behavioral Healthcare Nebraska | Community/Behavioral Health | 1111 Grundman Boulevard, Nebraska City, NE 68410 | 2009-12-14 |
1093043655 | Jeffrey Lynn Cumro | Chiropractor | 605 1st Corso, Nebraska City, NE 68410 | 2009-11-19 |
1700073020 | Assisted Living Concepts Inc | Assisted Living Facility | 1500 14th Avenue, Nebraska City, NE 68410 | 2007-10-01 |
1396864054 | Daniel Joseph Pfeifler | Physical Therapy Assistant | 1240 N. 19th St, Nebraska City, NE 68410 | 2007-03-27 |
1811008188 | William Joseph Einerson | Dentist | 106 S 12th St, Nebraska City Dental PC, Nebraska City, NE 68410 | 2006-08-31 |
1285628297 | Paul Lloyd Salansky Jr. | Optometrist | 121 N 8th St, Nebraska City, NE 68410 | 2005-09-06 |
1831614783 | Mitchell Hagedorn | Physical Therapist | 1301 Grundman Blvd, Nebraska City, NE 68410 | 2017-08-11 |
1265988554 | Marathon Health, LLC | General Practice | 1110 Grundman Blvd, C/o Cargill Employee Health Center, Nebraska City, NE 68410 | 2016-08-28 |
1083084792 | Swfac Plc | Podiatrist | 1301 Grundman Blvd., Nebraska City, NE 68410 | 2015-10-07 |
Find all providers in zip 68410 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164838967 | Lindsey Teten | Nurse Practitioner | 1120 6th Corso, Nebraska City, NE 68410-2747 | 2014-07-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477186757 | Huong Le Psychiatric Care LLC | Nurse Practitioner | 4444 S 86th St Ste 102, Lincoln, NE 68526-9253 | 2020-02-15 |
1881233070 | Diane Margaret Teadtke | Nurse Practitioner | 52518 890 Rd, Niobrara, NE 68760-7003 | 2020-01-05 |
1730724584 | Amberger LLC | Nurse Practitioner | 3610 N 163rd Plz Ste 207, Omaha, NE 68116-2164 | 2019-11-14 |
1891252219 | Shayla Hinrichsen | Nurse Practitioner | 5539 S 27th St Ste 101, Lincoln, NE 68512-1600 | 2019-02-21 |
1073090049 | Resilience Mental Health Services, LLC | Nurse Practitioner | 2820 E Us Highway 34 Ste 2, Grand Island, NE 68801-9734 | 2018-07-23 |
1871092353 | Janette Elaine Thomas Stallings | Nurse Practitioner | 706 N 129th St Ste 111, Omaha, NE 68154-6116 | 2018-02-09 |
1336680396 | Kristi Bose | Nurse Practitioner | 11422 Miracle Hills Dr Ste 401, Omaha, NE 68154 | 2017-03-10 |
1356885024 | Pro Care Mental Health Inc | Nurse Practitioner | 421 S 243rd St, Waterloo, NE 68069-4704 | 2016-12-14 |
1396293502 | Meaningful Psychiatric Services LLC | Nurse Practitioner | 9338 Forest Glen Dr, Lincoln, NE 68526-9636 | 2016-09-15 |
1871048959 | Refuge Mental Health Services, LLC | Nurse Practitioner | 8045 L St Ste 4, Omaha, NE 68127-1746 | 2016-08-18 |
Find all providers with the same taxonomy |
City | NEBRASKA CITY |
Zip Code | 68410 |
Please comment or provide details below to improve the information on TISHA KIM 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.