MS. DEBORAH R ELLIS (NPI# 1427098441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427098441 |
Entity Type | Individual |
Full Name | MS. DEBORAH R ELLIS |
Credential | RN NP |
Practice Address |
11201 Benton St Loma Linda CA 92357-1000 |
Mailing Address |
Po Box 609001 San Diego CA 92160-9001 |
Practice Telephone | 9095836189 |
Mailing Telephone | 6195284600 |
Mailing Fax Number | 6195284625 |
Enumeration Date | 2006-06-07 |
Last Update Date | 2010-07-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | RN519425 | CA | Nursing Service Providers |
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
NP13079 | CA | Physician Assistants & Advanced Practice Nursing Providers |
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 |
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 |
Street Address |
11201 BENTON ST |
City | LOMA LINDA |
State | CA |
Zip Code | 92357-1000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841290558 | Russell Evan Hoxie Jr. | Internal Medicine | 11201 Benton St, Loma Linda, CA 92357-1000 | 2005-07-22 |
1104435643 | Megan Satre | Audiologist | 11201 Benton St, Loma Linda, CA 92357-1000 | 2020-07-30 |
1972111862 | Aileen Nati Ludesirishoti | Pharmacist | 11201 Benton St, Loma Linda, CA 92357-1000 | 2020-07-17 |
1649894551 | Bryan Lamont Brewer | Social Worker | 11201 Benton St, Loma Linda, CA 92357-1000 | 2020-06-05 |
1518580497 | Nicole Kaye Whittle | Audiologist | 11201 Benton St, Loma Linda, CA 92357-1000 | 2020-05-26 |
1629690375 | Kevin Alan Cox | Student in an Organized Health Care Education/Training Program | 11201 Benton St, Loma Linda, CA 92357-1000 | 2020-05-15 |
1033731443 | Joni Lynn Stanton | Registered Nurse | 11201 Benton St, Loma Linda, CA 92357-1000 | 2020-05-08 |
1134748536 | Abednego Tamba | Registered Nurse | 11201 Benton St, Loma Linda, CA 92357-1000 | 2020-04-15 |
1447885884 | Zachary Michael Cruz | Registered Nurse | 11201 Benton St, Loma Linda, CA 92357-1000 | 2020-03-05 |
1972141695 | Tanya Lengvilas | Pharmacist | 11201 Benton St, Loma Linda, CA 92357-1000 | 2019-12-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679916027 | Nicole Kristine Shah-ghassemzadeh | Internal Medicine | Jerry L. Pettis Memorial Veterans Hospital - Gastroente, 11201 Benton Street, Loma Linda, CA 92357 | 2013-04-16 |
1760628598 | Taranjit Natt | Internal Medicine | 11201 Benton St # 111-om, Loma Linda, CA 92357 | 2008-12-29 |
1548355076 | Annette A Boyd -hampton | Nurse Practitioner | 11201 Benton St. -111g, Loma Linda, CA 92357 | 2006-10-03 |
1396830766 | Maudie Cantrell Foy | Nurse Practitioner | 11201 Benton St. (11cp), Loma Linda, CA 92357 | 2006-10-03 |
1427154715 | Kenneth Wong | Pharmacist | 11201 Benton St. (119), Loma Linda, CA 92357 | 2006-09-15 |
1801909577 | Paul Lindberg | Orthotist | 11201 Benton St./121, Loma Linda, CA 92357 | 2006-08-16 |
1992728703 | Harry Chen | Pharmacist | 11201 Benton Street, Va Loma Linda Healthcare System (119), Loma Linda, CA 92357 | 2006-07-25 |
1699222661 | Nathanial Benjaman Hawkins | Psychologist | 11201 Benton Street, Bhost 116a, Loma Linda, CA 92357 | 2016-09-07 |
1063877959 | Irene Thung | Pathology | 11201 Benton Street, Dept. of Pathology (113), Loma Linda, CA 92357 | 2015-12-21 |
1033553375 | Brian Chau | Physical Medicine & Rehabilitation | 11201 Benton Street, Department of Pm&r (mail Code 117), Loma Linda, CA 92357 | 2013-04-17 |
Find all providers in zip 92357 |
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 |
---|---|---|---|---|
1376936476 | Liberty Macias | Nurse Practitioner | 26070 Lugo Dr, Loma Linda, CA 92354-6507 | 2015-03-13 |
1750835013 | Loma Linda Psychiatric Medical Group | Nurse Practitioner | 26070 Lugo Dr, Loma Linda, CA 92354-6507 | 2016-08-04 |
1396114724 | Access Health Care | Nurse Practitioner | 26070 Lugo Dr, Loma Linda, CA 92354-6507 | 2015-09-16 |
1063532018 | Robin Gayle Butler | Nurse Practitioner | 11201 Benton St, Loma Linda, CA 92357-1000 | 2007-03-30 |
1659483147 | Heidi M. Monroy | Nurse Practitioner | 11201 Benton St, Loma Linda, CA 92357-1000 | 2006-08-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477154573 | Marcus Jang | Nurse Practitioner | 1130 E Colorado St Apt 214, Glendale, CA 91205-2092 | 2020-11-04 |
1033718580 | John Sylvanus Allieu Sr. | Nurse Practitioner | 2672 Merganser Ct, Los Banos, CA 93635-9473 | 2020-10-25 |
1316546930 | Chika U Oguagha | Nurse Practitioner | 16240 Carmine St, Fontana, CA 92336-1481 | 2020-10-23 |
1215534888 | Rosa Maria Aguero | Nurse Practitioner | 9841 Alburtis Ave Unit 29, Santa Fe Springs, CA 90670-3264 | 2020-10-06 |
1134726995 | Margarita Maghtesyan | Nurse Practitioner | 20251 Ventura Blvd Ste A, Woodland Hills, CA 91364-2564 | 2020-10-05 |
1043827140 | April Lopez Ortiz | Nurse Practitioner | 500 W Ashland Ct, Visalia, CA 93277-6609 | 2020-09-23 |
1477167666 | David Joseph Russell | Nurse Practitioner | 17846 Glenwood Rd, Manteca, CA 95336-9521 | 2020-09-03 |
1194339382 | Albert Liu | Nurse Practitioner | 43559 Southerland Way, Fremont, CA 94539-5931 | 2020-09-03 |
1407469554 | Andre Alexandrian | Nurse Practitioner | 1606 Winona Ave, Burbank, CA 91504-2823 | 2020-08-28 |
1790398238 | Heather Richardson | Nurse Practitioner | 112 S Park St Ste 1, San Francisco, CA 94107-1809 | 2020-08-25 |
Find all providers with the same taxonomy |
City | LOMA LINDA |
Zip Code | 92357 |
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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.