MR. HORACE A ELLIS (NPI# 1457328734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457328734 |
| Entity Type | Individual |
| Full Name | MR. HORACE A ELLIS |
| Credential | M.S.N., A. R. N. P. |
| Practice Address |
1695 Nw 9th Ave Miami FL 33136-1409 |
| Mailing Address |
10246 Sw 24th Ct Miramar FL 33025-6504 |
| Practice Telephone | 3053557228 |
| Practice Fax Number | 3053558091 |
| Mailing Telephone | 9544353696 |
| Mailing Fax Number | 3053558091 |
| Enumeration Date | 2006-03-04 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
2180612 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | PROFEE AND GROUP # | 05 |
| Street Address |
1695 NW 9TH AVE |
| City | MIAMI |
| State | FL |
| Zip Code | 33136-1409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356338784 | Christopher B Benton | Specialist | 1695 Nw 9th Ave, Miami, FL 33136-1409 | 2005-09-30 |
| 1093322760 | Giselle Leal | Clinical Neuropsychologist | 1695 Nw 9th Ave, Miami, FL 33136-1409 | 2020-09-28 |
| 1336754480 | Natasha L Poulopoulos | Psychologist | 1695 Nw 9th Ave, Miami, FL 33136-1409 | 2020-09-14 |
| 1396222469 | Marcela Kitaigorodsky | Psychologist | 1695 Nw 9th Ave, Miami, FL 33136-1409 | 2018-07-23 |
| 1043712425 | Catherine De La Osa | Psychologist | 1695 Nw 9th Ave, Miami, FL 33136-1409 | 2018-03-01 |
| 1194234971 | Daema Pina | Clinical Neuropsychologist | 1695 Nw 9th Ave, Miami, FL 33136-1409 | 2017-09-25 |
| 1396295135 | Leidybeth Rodriguez | Psychologist | 1695 Nw 9th Ave, Suite 3308, Miami, FL 33136-1409 | 2016-10-05 |
| 1669835831 | Daniel Enrique Jimenez | Psychologist | 1695 Nw 9th Ave, Suite 3308, Miami, FL 33136-1409 | 2016-04-04 |
| 1508248881 | Mousa Botros | Psychiatry & Neurology | 1695 Nw 9th Ave, Miami, FL 33136-1409 | 2015-06-23 |
| 1770979734 | Jacob Harel | Student in an Organized Health Care Education/Training Program | 1695 Nw 9th Ave, Department of Psychiatry, Miami, FL 33136-1409 | 2015-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875685 | Agustina Dirocco | Registered Nurse | 1611 Ne 12th Ave, Miami, FL 33136 | 2020-09-15 |
| 1093338451 | Krizia Amy Vinck | Clinical Neuropsychologist | 1150 Nw 14th St, Miami, Fl 33136, Miami, FL 33136 | 2020-05-20 |
| 1992327761 | Jorge Luis Cardenas Alvarez | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Avenue Central Room 600-d, Miami, FL 33136 | 2020-05-14 |
| 1104447036 | Denver Steven Pinto | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Avenue Jackson Memorial Hospital, West Wing 279 Emergency Radiology, Miami, FL 33136 | 2020-05-01 |
| 1992325724 | Dimple Kumar Chanamolu | Student in an Organized Health Care Education/Training Program | Deptarment of Urology University of Miama Miller School, Crb 1120 Nw 14th Street Suite 1551c, Miami, FL 33136 | 2020-04-22 |
| 1578100996 | Alex Aziz Al Khoury | Internal Medicine | 1120 Nw 14th St. Suite 1112, Miami, FL 33136 | 2019-12-04 |
| 1437708872 | Marie Jeanjean | Genetic Counselor, MS | 1501 Nw 10th Avenue, Brb 334 (m860), Miami, FL 33136 | 2019-09-09 |
| 1710543905 | Tal Friehmann | Student in an Organized Health Care Education/Training Program | Jackson Memorial Hospital, Breast Imaging Dep, 1611 Nw 12 Avenue, Miami, FL 33136 | 2019-05-14 |
| 1285297895 | Omar Munoz | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Av., Psychiatry Department, Miami, FL 33136 | 2019-04-18 |
| 1902369648 | Seyedeh Haleh Amirian | Student in an Organized Health Care Education/Training Program | 1611 12th Avenue, Holtz Buiding, East Tower, 2169, Miami, FL 33136 | 2019-04-10 |
| Find all providers in zip 33136 | ||||
| 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 |
|---|---|---|---|---|
| 1831722925 | Emma Leon | Nurse Practitioner | 3663 S Miami Ave Fl 33133, Miami, FL 33133-4253 | 2020-02-17 |
| 1447815907 | Aline Paredes | Nurse Practitioner | 150 Se 2nd Ave Ph 5, Miami, FL 33131-1516 | 2019-05-09 |
| 1700358777 | Obunadike Mbanugo | Nurse Practitioner | 10855 Sw 112th Ave Apt 118, Miami, FL 33176-3292 | 2019-01-01 |
| 1528539764 | Jacqueline Iriarte | Nurse Practitioner | 12590 Sw 69th Ct, Miami, FL 33156-6225 | 2018-12-16 |
| 1164888285 | Marien Marban Fernandez | Nurse Practitioner | 3762 Sw 27th Ln, Miami, FL 33134-7222 | 2016-01-05 |
| 1275907594 | Menealth Consulting Services Corp | Nurse Practitioner | 2815 Nw 88th St, Miami, FL 33147-3777 | 2015-11-24 |
| 1649695560 | Pascale Kidane | Nurse Practitioner | 1900 N Bayshore Dr Ste 1a, Miami, FL 33132-3002 | 2014-02-28 |
| 1154746725 | Rebecca Kostopoulos | Nurse Practitioner | 185 Sw 7th St Apt 4207, Miami, FL 33130-2988 | 2014-02-19 |
| 1457775553 | Linda Mays | Nurse Practitioner | 1001 Nw 54th St Ste 103, Miami, FL 33127-1807 | 2014-02-10 |
| 1285874792 | Sylma Maria Millares | Nurse Practitioner | 10250 Sw 56th St Ste C101, Miami, FL 33165-7065 | 2009-02-23 |
| Find all providers in MIAMI | ||||
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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.