MELISSA ELLIS


Address: 1003 Willow Creek Rd, Prescott, AZ 86314
Phone: 9287595821

MELISSA ELLIS (NPI# 1255702189) 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) 1255702189
Entity Type Individual
Full Name MELISSA ELLIS
Practice Address 1003 Willow Creek Rd
Prescott
AZ 86314
Mailing Address 1003 Willow Creek Rd.
Prescott
AZ 86314
Practice Telephone 9287595821
Practice Fax Number 9287595827
Mailing Telephone 9287595821
Mailing Fax Number 9287595827
Enumeration Date 2015-10-19
Last Update Date 2015-10-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered Dietary & Nutritional Service Providers

Other Providers MELISSA ELLIS

NPI Name Taxonomy Address Enumeration
1932614625 Melissa M Ellis Massage Therapist 2619 Saint Johns Ave Ste F, Billings, MT 59102-4690 2017-12-05
1851800460 Melissa Ellis Registered Nurse 91 Scribner Rd, Tyngsboro, MA 01879-2378 2017-09-26
1881845840 Melissa Marie Ellis Chiropractor 1655 Mansell Rd, Suite 130, Alpharetta, GA 30009-4850 2008-10-08
1023619376 Melissa J Ellis Technician 3975 W Quail Ave Ste 10, Las Vegas, NV 89118-3002 2020-11-03
1679185268 Melissa Ellis Technician 281 Maple Ave, Oak Hill, WV 25901-3475 2020-08-17
1316508401 Melissa Roseanna Ellis Technician 1127 Emerald Stone Ave, North Las Vegas, NV 89081-3032 2019-06-28
1053878611 Melissa Ellis Nurse Practitioner 201 Greenbrier Blvd, Covington, LA 70433-7236 2019-03-01
1578073722 Melissa L Ellis Case Manager/Care Coordinator 207 N Hwy 59, Kansas, OK 74347-0000 2017-10-02
1013435205 Melissa Ann Ellis Nurse Practitioner 712 N Washington Ave Ste 415, Dallas, TX 75246 2017-09-07
1033518873 Melissa Ellis Case Manager/Care Coordinator 2109 S Highway 69, Wagoner, OK 74467 2014-08-18

Office Location

Street Address 1003 WILLOW CREEK RD
City PRESCOTT
State AZ
Zip Code 86314

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174528343 Robert William Halterman Family Medicine 1003 Willow Creek Rd, Prescott, AZ 86301-1641 2005-06-15
1083211320 Wendy E Nelson Dietitian, Registered 1003 Willow Creek Rd, Prescott, AZ 86301-1668 2020-10-08
1750909008 Shawn Jeffery Mitchell Nurse Practitioner 1003 Willow Creek Rd, Prescott, AZ 86301-1641 2020-07-13
1669019683 Justin Earl Rogers Nurse Practitioner 1003 Willow Creek Rd, Prescott, AZ 86301-1641 2019-12-09
1477116911 Anna Mattson Nurse Practitioner 1003 Willow Creek Rd, Prescott, AZ 86301-1641 2019-04-19
1790276608 Phillip Allen Schafer Nurse Practitioner 1003 Willow Creek Rd, Prescott, AZ 86301 2018-05-25
1144724618 Richard Barclay Thompson Respiratory Therapist, Registered 1003 Willow Creek Rd, Prescott, AZ 86301-1641 2018-03-20
1245774397 Stephen Green Physician Assistant 1003 Willow Creek Rd, Prescott, AZ 86301-1641 2016-12-08
1427500107 Zachary Archer Perfusionist 1003 Willow Creek Rd, Prescott, AZ 86301-1641 2016-10-28
1952753675 Candice Panton Nurse Practitioner 1003 Willow Creek Rd, Prescott, AZ 86301-1641 2016-07-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992326029 Sequelcare of Arizona Community Based Residential Treatment Facility, Mental Illness 3001 N. Mountain View Rd, Prescott Valley, AZ 86314 2020-04-29
1124666516 Best Care Behavioral Homes LLC Community/Behavioral Health 5385 W Saddleback Drive, Prescott Valley, AZ 86314 2019-12-16
1912541558 The Stateserv Companies, LLC Durable Medical Equipment & Medical Supplies 8926 E. Long Mesa Drive, Prescott Valley, AZ 86314 2019-11-06
1003398983 Richard Telck Pharmacist 7720 E. Highway 69, Prescott Valley, AZ 86314 2018-09-06
1912493065 Akdhc,llc Internal Medicine 7862 E Florentine Rd, Suite 120, Prescott Valley, AZ 86314 2018-07-02
1700377983 Pronghorn Psychiatry Clinic/Center 5940 E. Copper Hill Dr, Suite E, Prescott Valley, AZ 86314 2018-05-23
1689185126 Thumb Butte Urgent Care Clinic/Center 6496 East Highway 69, Prescott Valley, AZ 86314 2017-10-23
1740738046 Janine Kauffmann Pharmacist 7720 East Highway 69, Prescott Valley, AZ 86314 2016-09-14
1528415650 Nazcare, Inc. Exclusive Provider Organization 8200 E. Jacque Dr., Prescott Valley, AZ 86314 2016-05-18
1184087009 William Beverly Marriage & Family Therapist 8603 E. Eastridge Dr., Ste A, Prescott Valley, AZ 86314 2016-03-29
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326549171 Kylie Nicole Crowe Dietitian, Registered 3120 Rainbow Ridge Dr, Prescott, AZ 86303-5767 2018-02-27
1225457146 Kathryn Kimball Dietitian, Registered 3181 Clearwater Drive, Suite B, Prescott, AZ 86305-7715 2014-04-08
1497859805 Denise Perry Dietitian, Registered 500 Highway 89n, Va Medical Center, Prescott, AZ 86313 2006-09-08
1245348408 George Mark Coram Dietitian, Registered Navahcs 500 N Hwy 89, Prescott, AZ 86313 2006-08-28
1083211320 Wendy E Nelson Dietitian, Registered 1003 Willow Creek Rd, Prescott, AZ 86301-1668 2020-10-08
1740829456 Jessica Folts Dietitian, Registered 500 N Us Highway 89, Prescott, AZ 86313-5001 2019-12-27
1578102570 Lisa Phillips Dietitian, Registered 500 N Us Highway 89, Prescott, AZ 86313-5001 2019-12-23
1275193880 Jerad Martel Miles Dietitian, Registered 500 Az-89, Prescott, AZ 86301 2019-06-17
1295222529 Jason P Olig Dietitian, Registered 500 N State Route 89, Prescott, AZ 86313-5001 2018-04-23
1295192789 Rebecca Kraxberger Dietitian, Registered 1003 Willow Creek Rd, Prescott, AZ 86301-1641 2016-01-28
Find all providers in PRESCOTT

Competitor

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City PRESCOTT
Zip Code 86314

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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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