JENINE M ELLIS (NPI# 1326297748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326297748 |
| Entity Type | Individual |
| Full Name | JENINE M ELLIS |
| Credential | RDMS |
| Practice Address |
1000 Centre Green Way Suite 200 Cary NC 27513-5610 |
| Practice Telephone | 9194601012 |
| Mailing Telephone | 9192286366 |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2009-11-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471S1302X |
Radiologic Technologist Specialization: Sonography |
0017311230 | NC | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1000 CENTRE GREEN WAY , SUITE 200 |
| City | CARY |
| State | NC |
| Zip Code | 27513-5610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912525155 | Erikare At Home | In Home Supportive Care | 1750 Nw Maynard Road, Ste 100, Office 103, Cary, NC 27513 | 2020-07-13 |
| 1811527583 | Octavia Shada Allen | Behavior Technician | 15501 Western Parkway Suite 130, Cary, NC 27513 | 2020-01-22 |
| 1790249605 | Carolyn Ann Berlin | Nurse Practitioner | 3600 Northwest Cary Pkwy. Suite 104, Cary, NC 27513 | 2019-01-24 |
| 1346722550 | Wesley B Smith Dds Pa | Dentist | 130 Preston Executive Drive Suite 203, Cary, NC 27513 | 2018-09-04 |
| 1366920852 | Tsua Lor | Dentist | 3122 Lakeside View Ct, Cary, NC 27513 | 2018-08-06 |
| 1184133894 | Rebekah Lee Crisp | Occupational Therapist | Leagacy Healthcare Services At Searstone, 210 Walker Stone Drive, Cary, NC 27513 | 2017-09-26 |
| 1790203354 | Babies On The Move LLC | Physical Therapist | 100 Cavendish Dr, Cary, NC 27513 | 2017-09-05 |
| 1790157881 | Riccobene & Associates Xii, Dds, P.a. | Clinic/Center | 1203 Nw Maynard Road, Cary, NC 27513 | 2015-10-28 |
| 1508237413 | Riccobene & Associates Xv, Dds, P.a. | Clinic/Center | 1203 Northwest Maynard Road, Cary, NC 27513 | 2015-10-19 |
| 1104293356 | Katherine J Gooding | Audiologist-Hearing Aid Fitter | 301 Maynard Crossing Court, Cary, NC 27513 | 2015-08-24 |
| Find all providers in zip 27513 | ||||
| Taxonomy Code | 2471S1302X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Sonography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295109569 | Lisa Elliott | Radiologic Technologist | 1183 Micahs Way N, Spring Lake, NC 28390-2857 | 2015-11-23 |
| 1124400577 | Siara Leone Blackwood | Radiologic Technologist | 77 Washington Rd, Asheville, NC 28801-1941 | 2015-06-22 |
| 1992184196 | Terry Williams | Radiologic Technologist | 422 Sierra Dr, Wilmington, NC 28409-3261 | 2015-05-21 |
| 1326427741 | Lisa Howard | Radiologic Technologist | 767 Cress School Rd, Salisbury, NC 28147-9679 | 2015-05-19 |
| 1447668595 | Tina Marie Corn | Radiologic Technologist | 118 Halliburton Rd, Hendersonville, NC 28791-3816 | 2014-07-31 |
| 1073928404 | Marian Elizabeth Catlin | Radiologic Technologist | 45 Windy Acres Dr, Fairview, NC 28730-9549 | 2014-06-24 |
| 1841611431 | Jessica Ostrowski | Radiologic Technologist | 119 Arliss Albertson Rd, Beulaville, NC 28518-6877 | 2013-12-26 |
| 1205176948 | Sarah Harvey Robinson | Radiologic Technologist | 37 Sunset Dr, Swannanoa, NC 28778-2141 | 2013-02-17 |
| 1356512784 | Margaret Anna Hubbard | Radiologic Technologist | 617 Continental Dr, Durham, NC 27712-2492 | 2008-03-13 |
| 1730113911 | Carol Ann Maclean | Radiologic Technologist | 101 Friendly Ln, Asheville, NC 28806-4704 | 2006-07-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JENINE M 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.