SAMANTHA ELLIS (NPI# 1710341391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710341391 |
| Entity Type | Individual |
| Full Name | SAMANTHA ELLIS |
| Practice Address |
8915 Sw Center St Tigard OR 97223-6307 |
| Practice Telephone | 5057263740 |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2016-04-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841652567 | Samantha Michelle Ellis | Social Worker | 11097 Se 21st Ave, Milwaukie, OR 97222-7640 | 2016-03-22 |
| 1174918098 | Samantha Rose Ellis | Dermatology | 600 San Ramon Valley Blvd Ste 102, Danville, CA 94526-4021 | 2015-03-30 |
| 1811417736 | Samantha Ellis | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375 | 2017-06-21 |
| 1356799985 | Samantha Ellis | Nurse Practitioner | 15420 N 32nd Dr, Phoenix, AZ 85053 | 2016-05-24 |
| 1861861429 | Samantha Ellis | Counselor | 487 Center St, Manchester, CT 06040-3982 | 2015-09-24 |
| 1578962437 | Samantha A Ellis | Pharmacist | 320 Park Ave, Worcester, MA 01610-1021 | 2014-08-17 |
| 1285044750 | Samantha Ellis | Dietitian, Registered | 44 Pleasant Ave, Walden, NY 12586-1240 | 2014-05-05 |
| 1164726063 | Samantha Lee Ellis | Registered Nurse | 6200 Sw 73rd St, South Miami, FL 33143-4679 | 2011-01-06 |
| Street Address |
8915 SW CENTER ST |
| City | TIGARD |
| State | OR |
| Zip Code | 97223-6307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265595664 | Luke-dorf | Counselor | 8915 Sw Center St, Tigard, OR 97223-6307 | 2006-12-18 |
| 1710587357 | Jo Fish | Counselor | 8915 Sw Center St, Tigard, OR 97223-6307 | 2020-10-30 |
| 1750981668 | Mason Lorenzo Pfeifer | Counselor | 8915 Sw Center St, Tigard, OR 97223-6307 | 2020-10-29 |
| 1326645060 | Hernando Hernandez Jr. | Counselor | 8915 Sw Center St, Tigard, OR 97223-6307 | 2020-10-06 |
| 1053928473 | Lori Jean Sherlock | Counselor | 8915 Sw Center St, Tigard, OR 97223-6307 | 2020-09-29 |
| 1508472150 | William Van Sant | Counselor | 8915 Sw Center St, Tigard, OR 97223-6307 | 2020-09-18 |
| 1750996112 | Ali Janelle Swetland | Counselor | 8915 Sw Center St, Tigard, OR 97223-6307 | 2020-09-12 |
| 1124632526 | Cloey Layton | Counselor | 8915 Sw Center St, Tigard, OR 97223-6307 | 2020-09-02 |
| 1770197501 | Christina Marie Herrera | Counselor | 8915 Sw Center St, Tigard, OR 97223-6307 | 2020-08-31 |
| 1396358289 | Alisia Foster | Counselor | 8915 Sw Center St, Tigard, OR 97223-6307 | 2020-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760042618 | Tess Ivie Manso | Counselor | 8915 Degrees Center St, Tigard, OR 97223 | 2019-06-13 |
| 1780141804 | Amybrunermd LLC | Obstetrics & Gynecology | 6958 Sw Varns Street, Portland, OR 97223 | 2019-02-25 |
| 1417425034 | Patience Marie Rutto | Counselor | 8915 Sw Center Streret, Tigard, OR 97223 | 2018-11-13 |
| 1871089581 | Marina E Menegol | Behavioral Analyst | Center for Social Dynamics, 9115 Southwest Oleson Rd. Ste. 100, Portland, OR 97223 | 2018-07-05 |
| 1215423165 | Katherine Virginia Eichner | Psychologist | 9860 Sw Hall Blvd Ste B, Tigard, OR 97223 | 2018-07-03 |
| 1043717390 | Rayna Donnelly | Physician Assistant | 9735 Sw Shady Ln Ste 102, Tigard, OR 97223 | 2018-04-11 |
| 1376059725 | Kaylie Marilyn Reyes | Behavioral Analyst | 9115 Sw Oleson Road, Portland, OR 97223 | 2017-12-21 |
| 1841704004 | Kathleen Terrell Taylor | Occupational Therapist | 7320 Sw Hunziker, Suite 203, Tigard, OR 97223 | 2017-11-27 |
| 1487163036 | Susie Riess | Counselor | 10763 Sw Greenburg Road, Suite 100, Tigard, OR 97223 | 2017-09-27 |
| 1043731243 | Tam Nguyen | Optometrist | 8795 Sw Scholls Ferry Rd Ste 100, Tigard, OR 97223 | 2017-06-28 |
| Find all providers in zip 97223 | ||||
| Taxonomy Code | 133NN1002X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| Specialization | Nutrition, Education |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033730171 | Alexandra Jay | Nutritionist | 60973 Waterfront Ct, Bend, OR 97702-7980 | 2020-04-29 |
| 1487281895 | Robin Pulskamp | Nutritionist | 4516 Ne 41st Ave, Portland, OR 97211-8139 | 2020-03-25 |
| 1427692623 | Roxanne Franklin Wilson | Nutritionist | 1900 Ne Highway 99w Ste K, Mcminnville, OR 97128-2757 | 2019-10-30 |
| 1316599319 | Rebecca Rose Fallihee | Nutritionist | 2090 Four Oaks Grange Rd, Eugene, OR 97405-1013 | 2019-07-10 |
| 1366901613 | Shannon Austin | Nutritionist | 25250 Sw Meadowbrook Ln, Sherwood, OR 97140-8493 | 2019-03-17 |
| 1568900280 | Terri Dawn Ward | Nutritionist | 20541 Sw 103rd Ave, Tualatin, OR 97062-9513 | 2017-02-01 |
| 1891237319 | Jenny Cai Noland | Nutritionist | 85804 S Willamette St, Eugene, OR 97405-9555 | 2016-11-15 |
| 1689041899 | Integrative Consulting LLC | Nutritionist | 730 Biddle Rd Ste A, Medford, OR 97504-6116 | 2015-08-24 |
| 1639545585 | Shawna Esparza | Nutritionist | 3837 Se Ogden St, Portland, OR 97202-7828 | 2015-08-14 |
| 1568802619 | Melissa Hedstrom | Nutritionist | 5423 Monterey Dr Se, Salem, OR 97306-8800 | 2013-07-02 |
| Find all providers with the same taxonomy | ||||
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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.