MS. PHYLLIS JEAN ELLENA (NPI# 1740450642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740450642 |
| Entity Type | Individual |
| Full Name | MS. PHYLLIS JEAN ELLENA |
| Credential | ADVANCED PRACTICE RN |
| Practice Address |
4026 Parkway Dr San Antonio TX 78228-2311 |
| Practice Telephone | 2102195135 |
| Practice Fax Number | 2104347039 |
| Mailing Telephone | 2102195135 |
| Mailing Fax Number | 2104347039 |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2008-03-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
439625 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4026 PARKWAY DR |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78228-2311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770064206 | Isabel Cristina Moreno | Licensed Vocational Nurse | 5419 Shivalik Way, San Antonio, TX 78228 | 2018-08-23 |
| 1053846097 | Miguel Angel Hernandez | Counselor | 3615 Culebra Road, San Antonio, TX 78228 | 2017-04-27 |
| 1841724424 | Amber Fragoso | Specialist/Technologist | 1 Camino Sanata Maria, San Antonio, TX 78228 | 2017-04-20 |
| 1184175937 | John Amundson IIi | Counselor | 4243 E Piedras Dr # 100, San Antonio, TX 78228 | 2016-10-17 |
| 1215487475 | Compassus Op of Texas LLC | Hospice Care, Community Based | 4242 E Piedras Dr, Suite 200, San Antonio, TX 78228 | 2016-10-11 |
| 1407220130 | Jessica Marie Hernandez-benavidez | Counselor | 2939 W. Woodlawn, Buidling 2, San Antonio, TX 78228 | 2015-11-18 |
| 1720494214 | Early Trail Inc | Assisted Living Facility | 322 Early Trail, San Antonio, TX 78228 | 2014-07-07 |
| 1992117717 | R A Alvarado Medical Pllc | Pain Medicine | 4100 E Piedras Dr Ste 165, San Antonio, TX 78228 | 2014-05-28 |
| 1447681606 | Smile Kings Bandera, Pllc | Dentist | 919 Bandera Rd. Ste 101, San Antonio, TX 78228 | 2013-12-12 |
| 1811230345 | Gwendolyn Holland | Registered Nurse | 5310 Arrowhead Dr, San Antonio, TX 78228 | 2013-04-03 |
| Find all providers in zip 78228 | ||||
| Taxonomy Code | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285739102 | Karen Gail Brenz | Clinical Nurse Specialist | 9480 Huebner Rd, Ste 210, San Antonio, TX 78240-1657 | 2006-09-14 |
| 1295778751 | Guadalupe D. Ramos | Clinical Nurse Specialist | 806 S Zarzamora St, San Antonio, TX 78207-5362 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972126001 | Augusta Chika Anyama | Clinical Nurse Specialist | 20902 Bright Lake Bend Ct, Richmond, TX 77407-4491 | 2020-05-23 |
| 1801123765 | Kathryn M. Gaylord | Clinical Nurse Specialist | 3400 Rowley E. Chambers Avenue, United States Army Institute of Surgical Research, Fort Sam Houston, TX 78234-6315 | 2009-11-12 |
| 1386882975 | Deborah Ann Sanford-wilson | Clinical Nurse Specialist | 411 S Nedderman Dr, Arlington, TX 76019-0001 | 2009-02-04 |
| 1669665220 | Joyce A Hohner | Clinical Nurse Specialist | 964 W Highway 190, Suite 7, Copperas Cove, TX 76522-3800 | 2007-08-27 |
| 1144433954 | Charles Ebenezer Blair | Clinical Nurse Specialist | 1120 Nasa Pkwy 220w, Houston, TX 77058-3362 | 2007-05-08 |
| 1932297363 | Starla B Harrison | Clinical Nurse Specialist | 6363 Forest Park, #749, Dallas, TX 75390-9121 | 2006-10-11 |
| 1134143332 | Robert Ray Robertson | Clinical Nurse Specialist | 3605 N.e. Loop 286, Suite 2000, Paris, TX 75460-5085 | 2006-07-27 |
| 1356332324 | Jorge Torres | Clinical Nurse Specialist | Brooke Army Medical C Enter, Fort Sam Houston, TX 78234 | 2005-10-31 |
| 1386151272 | Hilda L Solis, Rn Msn Apn PC | Clinical Nurse Specialist | 905 S Jackson Rd, Pharr, TX 78577-6616 | 2018-01-02 |
| 1710413877 | Rebecca Casarez | Clinical Nurse Specialist | 7000 Fannin St, Suite 1620, Houston, TX 77030-5400 | 2017-05-11 |
| Find all providers with the same taxonomy | ||||
| City | SAN ANTONIO |
| Zip Code | 78228 |
Please comment or provide details below to improve the information on MS. PHYLLIS JEAN ELLENA.
| 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.