DEBORAH W ELLIS


Address: 801 7th Ave, Fort Worth, TX 76104-2733
Phone: 6828854054

DEBORAH W ELLIS (NPI# 1265592869) 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) 1265592869
Entity Type Individual
Full Name DEBORAH W ELLIS
Credential CRNA
Practice Address 801 7th Ave
Fort Worth
TX 76104-2733
Mailing Address Po Box 99371
Fort Worth
TX 76199-0371
Practice Telephone 6828854054
Practice Fax Number 6828857497
Mailing Telephone 6828851855
Mailing Fax Number 6828857347
Enumeration Date 2006-12-12
Last Update Date 2012-04-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered 545703 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX 003261704 05
TX AMERIGROUP PIN 10024634 01
TX CSHCN 003261705 01
TX UHC PIN 1900013 01

Other Providers DEBORAH ELLIS

NPI Name Taxonomy Address Enumeration
1760830038 Deborah Ellis Developmental Therapist 301 West Calhoun, Magnolia, ARKANSAS 71753 2016-05-27
1922319961 Deborah Baron Ellis Social Worker 157 East 86th Street, Neighborhood Coalition for Shelter, New York, NY 10028 2010-06-24
1215974704 Deborah A Ellis Psychologist Upc Children's Hospital, 3901 Beaubien 4th Floor Carls Bldg, Detroit, MI 48201 2006-06-01
1275839979 Deborah A Ellis Health Educator 301 Great Teays Blvd Ste 6, Scott Depot, WV 25560-9552 2011-01-28
1285893529 Deborah T Ellis Speech-Language Pathologist 2525 Centerville Rd, Dallas, TX 75228-2634 2008-06-02
1376746883 Deborah Marie Ellis Registered Nurse 1225 E Fort Union Blvd, Ste 215, Cottonwood Heights, UT 84047-1889 2007-06-11
1134342405 Deborah Lynne Ellis Counselor 1630 E Shaw Ave, Ste 150, Fresno, CA 93710-8105 2007-04-11
1740292390 Deborah S Ellis Social Worker 1130 Ten Rod Rd, Suite D-104, North Kingstown, RI 02852-4161 2006-08-12
1427098441 Deborah R Ellis Registered Nurse 11201 Benton St, Loma Linda, CA 92357-1000 2006-06-07

Office Location

Street Address 801 7TH AVE
City FORT WORTH
State TX
Zip Code 76104-2733

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053315010 Jon Michael Badgwell Anesthesiology 801 7th Ave, Fort Worth, TX 76104-2733 2005-06-08
1609482884 Tiffani Christensen Nurse Practitioner 801 7th Ave, Fort Worth, TX 76104-2796 2020-09-22
1528676723 Kaitlin Renee Noyes Pediatrics 801 7th Ave, Fort Worth, TX 76104-2733 2020-07-14
1114567369 Lauren Elizabeth Walker Nurse Practitioner 801 7th Ave, Fort Worth, TX 76104-2733 2020-01-15
1124667753 Kirsten A Gomez Social Worker 801 7th Ave, Fort Worth, TX 76104-2733 2019-12-30
1841838448 Mark Cole Carrillo Nurse Anesthetist, Certified Registered 801 7th Ave, Fort Worth, TX 76104-2733 2019-12-13
1326686148 Erica Burton Nurse Anesthetist, Certified Registered 801 7th Ave, Fort Worth, TX 76104-2733 2019-12-11
1689217432 Claire Koskie Dietitian, Registered 801 7th Ave, Fort Worth, TX 76104-2733 2019-10-24
1437709243 Rhonda Maritza Andi Nurse Practitioner 801 7th Ave, Fort Worth, TX 76104-2733 2019-09-13
1972061034 Katharine Avery Molloy Nurse Anesthetist, Certified Registered 801 7th Ave, Fort Worth, TX 76104-2733 2019-03-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669082186 Cvs Pharmacy, Inc. Durable Medical Equipment & Medical Supplies 1115 8th St, Fort Worth, TX 76104 2020-08-10
1992343693 Iris Giove Psychologist John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 2019-12-13
1104480656 Swarnalaxmi Umapathy Student in an Organized Health Care Education/Training Program 900 8th Avenue, Fort Worth, TX 76104 2019-04-30
1881189132 Mega Surgical Assistants LLC Specialist/Technologist, Other 1301pennsylvania, Fort Worth, TX 76104 2018-06-28
1356848899 Tricia Kelly Nurse Practitioner 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 2018-04-11
1952820979 Modern Vein Clinic Internal Medicine 757 8th Avenue, Suite A, Forth Worth, TX 76104 2017-09-11
1790207165 Vanessa Abbood Dietitian, Registered 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 2017-07-07
1922537562 Nicole Marie Tod Student in an Organized Health Care Education/Training Program 1500 S Main Street, Fort Worth, TX 76104 2017-06-07
1770025934 Micah Bonola Chiropractor 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 2016-11-04
1518315894 United Bioscience, LLC. Clinical Medical Laboratory 901 W. Leuda St., B, Fort Worth, TX 76104 2016-05-27
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689288524 Pmr Crna Pllc Nurse Anesthetist, Certified Registered 5000 Alicia Dr, Fort Worth, TX 76133-7902 2020-09-08
1922622919 Devontee Delishuanee Rayford Nurse Anesthetist, Certified Registered 3925 Crenshaw Ave, Fort Worth, TX 76105-4115 2020-06-04
1487292520 Tran Dao Nurse Anesthetist, Certified Registered 8113 Rambler Rose St, Fort Worth, TX 76137-1294 2019-12-19
1093375305 Desiree Michelle Silva Nurse Anesthetist, Certified Registered 7212 Park West Cir Apt 8210, Fort Worth, TX 76134-3570 2019-06-18
1255877551 Virtue Anesthesia Pllc Nurse Anesthetist, Certified Registered 209 Saint Louis Ave, Fort Worth, TX 76104-1231 2017-01-10
1326406919 Tonie Durrah Nurse Anesthetist, Certified Registered 9713 Burwell Dr, Fort Worth, TX 76244-9531 2016-02-10
1730545658 Erasmo Coutino Nurse Anesthetist, Certified Registered 917 W Broadus Ave, Fort Worth, TX 76115-2410 2016-01-07
1528423365 John Ryan Nuckols Nurse Anesthetist, Certified Registered 6020 Portico Dr Apt 1527, Fort Worth, TX 76132-4189 2015-12-21
1194198457 Nathan Boone Crick Nurse Anesthetist, Certified Registered 5264 Buffalo Gap Trl, Fort Worth, TX 76126 2015-11-09
1780061044 Heather Taylor Ross Nurse Anesthetist, Certified Registered 5918 Siltstone Ln, Apt 616, Fort Worth, TX 76137-8003 2015-05-06
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City FORT WORTH
Zip Code 76104

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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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