LUMINITA ELLIS


Address: 3700 N Capitol St Nw # 252, Washington, DC 20011-8400
Phone: 2027260333

LUMINITA ELLIS (NPI# 1194148031) 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) 1194148031
Entity Type Individual
Full Name LUMINITA ELLIS
Practice Address 3700 N Capitol St Nw # 252
Washington
DC 20011-8400
Mailing Address 3700 N Capitol St Nw #252
Washington
DC 20011
Practice Telephone 2027260333
Enumeration Date 2014-01-29
Last Update Date 2014-01-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363AM0700X Physician Assistant
Specialization: Medical
PA03540 TX Physician Assistants & Advanced Practice Nursing Providers
Y 363AM0700X Physician Assistant
Specialization: Medical
C0005270 MD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3700 N CAPITOL ST NW # 252
City WASHINGTON
State DC
Zip Code 20011-8400

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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1174985220 Robert Matthew Cronin Physician Assistant 3800 Reservoir Rd. Nw, 4phc, Washington, DC 20007 2016-03-27
1639540529 Jennifer Quyen Tran Physician Assistant 332 18th Pl Ne Apt 4, Washington, DC 20002-6650 2015-10-17
1487023511 Christina Russo Physician Assistant 2021 K St Nw Ste 512, Washington, DC 20006-1003 2015-09-18
1518235167 Anoa Gibson-hunter Physician Assistant 4221 Argyle Ter Nw, Washington, DC 20011-4241 2011-12-11
1295014330 Annise Claude Physician Assistant 2021 K St Nw Ste 210, Washington, DC 20006-1003 2011-08-08
1982905048 Dennis Anthony Siracusa Physician Assistant 3290 Aberfoyle Pl Nw, Washington, DC 20015-2356 2010-11-05
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Competitor

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City WASHINGTON
Zip Code 20011

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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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