MS. DEBORAH MARIE ELLIS (NPI# 1376746883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376746883 |
| Entity Type | Individual |
| Full Name | MS. DEBORAH MARIE ELLIS |
| Credential | CNM APRN |
| Practice Address |
1225 E Fort Union Blvd Ste 215 Cottonwood Heights UT 84047-1889 |
| Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
| Practice Telephone | 8012334200 |
| Mailing Telephone | 8012334200 |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2016-02-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 2206804405 | UT | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
220680-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367A00000X | Advanced Practice Midwife | 2206804402 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | NPI FOR LEON HANSEN | 1841250602 | 01 |
| 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 |
| 1134342405 | Deborah Lynne Ellis | Counselor | 1630 E Shaw Ave, Ste 150, Fresno, CA 93710-8105 | 2007-04-11 |
| 1265592869 | Deborah W Ellis | Nurse Anesthetist, Certified Registered | 801 7th Ave, Fort Worth, TX 76104-2733 | 2006-12-12 |
| 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 |
| Street Address |
1225 E FORT UNION BLVD STE 215 |
| City | COTTONWOOD HEIGHTS |
| State | UT |
| Zip Code | 84047-1889 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760726608 | Michael Anthony Mcalister | Registered Nurse | 1225 E Fort Union Blvd, Suite 215, Cottonwood Heights, UT 84047-1889 | 2012-11-15 |
| 1316211683 | Kevin Taylor Hansen | Social Worker | 1225 E Fort Union Blvd, Suite 215, Cottonwood Heights, UT 84047-1889 | 2012-03-02 |
| 1962773887 | Junetta Moody | Social Worker | 1225 E Fort Union Blvd, Suite 215, Cottonwood Heights, UT 84047-1889 | 2012-01-24 |
| 1518264092 | Sarah Marie Tellesbo | Social Worker | 1225 E Fort Union Blvd, Suite 215, Cottonwood Heights, UT 84047-1889 | 2011-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649885096 | Wound Pros Utah | Durable Medical Equipment & Medical Supplies | 6975 Union Park Avenue, Suite 600, Cottonwood Heights, UT 84047 | 2020-09-12 |
| 1457965824 | Duy Danny Vo | Pharmacist | 7200 S State St, Midvale, UT 84047 | 2020-09-03 |
| 1619457314 | Tlcpo LLC | Counselor | 6975 Union Park Avenue Suite 600, Cottonwood Heights, UT 84047 | 2018-08-21 |
| 1700371606 | Heather Ivana Lawrence | Social Worker | 6856 700 E, Midvale, Ut 84047, Midvale,ut, UT 84047 | 2018-06-25 |
| 1285128942 | A&a Counseling | Counselor | 7602 S Main St, Midvale, UT 84047 | 2018-06-17 |
| 1396235339 | Hhalmid | Assisted Living Facility | 6968 S 700 E, Midvale, UT 84047 | 2018-05-15 |
| 1750879987 | Rosemarie Elaine Brinig | Counselor | 75 E. Ft. Union, C118, Midvale, UT 84047 | 2018-04-24 |
| 1861921140 | Olivia Devenport | Behavior Technician | 7434 S State Street, Midvale, UT 84047 | 2017-06-08 |
| 1376083071 | Marathon Health, LLC | Nurse Practitioner | 7259 South Bingham Junction, C/o Chg- Ut Health Center, Midvale, UT 84047 | 2017-02-28 |
| 1710436316 | Michael Naanes | Physical Therapist | 900 East 6900 South, Suite 100, Midvale, UT 84047 | 2016-09-25 |
| Find all providers in zip 84047 | ||||
| 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 |
|---|---|---|---|---|
| 1710595178 | Shannon Lee Zaryoun | Nurse Practitioner | 7970 S Grand Vista Way, Cottonwood Heights, UT 84121-5683 | 2020-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114536737 | Bradley Martin | Nurse Practitioner | 31 M St Apt 110, Salt Lake City, UT 84103-3846 | 2020-07-29 |
| 1023640851 | Senior Nurse Practitioner Consultants | Nurse Practitioner | 5802 S 900 E # 3, Murray, UT 84121-1644 | 2020-02-10 |
| 1245877448 | Carla Lucile Applegate-anderson | Nurse Practitioner | 2666 South 2000 East, Suite 101, Salt Lake City, UT 84109 | 2019-12-06 |
| 1124676044 | Marie R. Hurst | Nurse Practitioner | 5974 Fashion Point Dr Ste 140, South Ogden, UT 84403-4838 | 2019-09-04 |
| 1437706058 | Austin Sumner Heaps | Nurse Practitioner | 1044 N 600 E, Morgan, UT 84050-9269 | 2019-08-19 |
| 1821565839 | Clint Lee Martineau | Nurse Practitioner | 230 N 1680 E # 1, Saint George, UT 84790-2579 | 2018-10-28 |
| 1356827505 | Ashley Smith | Nurse Practitioner | 515 N 600 E, Hyrum, UT 84319-1133 | 2018-07-11 |
| 1588176606 | Bradley Keep | Nurse Practitioner | 4610 W 9980 N, Cedar Hills, UT 84062-8728 | 2017-10-30 |
| 1023548070 | Sarah Leggett | Nurse Practitioner | 9235 S Redwood Rd Ste A, West Jordan, UT 84088-5811 | 2017-06-13 |
| 1720433196 | Lillian Farris | Nurse Practitioner | 2180 E 4500 S Ste 125, Salt Lake City, UT 84117-4021 | 2016-05-04 |
| Find all providers with the same taxonomy | ||||
| City | COTTONWOOD HEIGHTS |
| Zip Code | 84047 |
Please comment or provide details below to improve the information on MS. DEBORAH MARIE 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.