TAMI ELLIS (NPI# 1770007171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770007171 |
| Entity Type | Individual |
| Full Name | TAMI ELLIS |
| Credential | RN |
| Practice Address |
2706 N Church St Greensboro NC 27405-3657 |
| Mailing Address |
408 Edgedale Dr High Point NC 27262-2908 |
| Practice Telephone | 3362729990 |
| Practice Fax Number | 3365748738 |
| Mailing Telephone | 3366891189 |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2017-07-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
236666 | NC | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972626406 | Tami J Ellis | Day Training/Habilitation Specialist | 1454 Monument St, Noblesville, IN 46060-2035 | 2007-04-09 |
| 1124212394 | Tami Sue Ellis | Counselor | 2727 E Admiral Pl, Tulsa, OK 74110-5436 | 2007-08-30 |
| Street Address |
2706 N CHURCH ST |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27405-3657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609027937 | Nathan D Cassidy | Counselor | 2706 N Church St, Greensboro, NC 27405-3657 | 2008-10-06 |
| 1710585757 | Elizabeth Anne Bilisoly | Counselor | 2706 N Church St, Greensboro, NC 27405-3657 | 2020-10-13 |
| 1811502206 | Emily Jo Wall | Counselor | 2706 N Church St, Greensboro, NC 27405-3657 | 2020-09-11 |
| 1346803459 | Shirley Lawrence | Counselor | 2706 N Church St, Greensboro, NC 27405-3657 | 2019-04-16 |
| 1740777911 | Angel Pupo | Licensed Practical Nurse | 2706 N Church St, Greensboro, NC 27405-3657 | 2018-04-13 |
| 1578050738 | Shamekia Wilkes | Licensed Practical Nurse | 2706 N Church St, Greensboro, NC 27405-3657 | 2018-04-13 |
| 1700373941 | Donna Heyel-hansen | Counselor | 2706 N Church St, Greensboro, NC 27405-3657 | 2018-04-13 |
| 1699262865 | Chasity Smith | Licensed Practical Nurse | 2706 N Church St, Greensboro, NC 27405-3657 | 2018-04-13 |
| 1124515390 | Heather Bosworth | Licensed Practical Nurse | 2706 N Church St, Greensboro, NC 27405-3657 | 2018-04-13 |
| 1326535501 | Julie Greer | Licensed Practical Nurse | 2706 N Church St, Greensboro, NC 27405-3657 | 2018-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477038727 | Miya Jackson | Behavior Technician | 2308 Golden Gate Dr, Apt G, Greensboro, NC 27405 | 2018-10-02 |
| 1821576299 | Woodrow Eric Bradley | Day Training/Habilitation Specialist | 1403 Woocbriar Ave, Greensboro, NC 27405 | 2018-07-30 |
| 1922593094 | Constance Foushee | Nurse Practitioner | 1100 E. Wendover, Greensboro, NC 27405 | 2018-06-29 |
| 1760972434 | Ayana Linette Holland | Home Health Aide | 1417 Old Hickory Dr, Greensboro, NC 27405 | 2018-05-17 |
| 1790294700 | G. Antoine Gray | Specialist | 2100 Phillips Avenue, Suite B, Greensboro, NC 27405 | 2017-09-21 |
| 1306375910 | Wendy Carisa Boger | Registered Nurse | 1100 East Wendover Avenue, Greensboro, NC 27405 | 2017-06-07 |
| 1659827715 | Changing Paths Counseling Center Pllc | Community/Behavioral Health | 1600 E Wendoer Ave., Suite C, Greensboro, NC 27405 | 2016-08-29 |
| 1295187896 | Amanda Kirby Counseling, PC | Counselor | 1175 Revolution Mill Drive, Suite 29-2, Greensboro, NC 27405 | 2016-07-07 |
| 1780049429 | Pta | Residential Treatment Facility, Physical Disabilities | 1900 Sheldon Road, Greensboro, NC 27405 | 2015-12-23 |
| 1841655644 | Amaya Nicole Hardy | Counselor | 1600r E Wendover Ave Ste R, Greensboro, NC 27405 | 2015-12-21 |
| Find all providers in zip 27405 | ||||
| Taxonomy Code | 163WA0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033728183 | Shannon S. Casey | Registered Nurse | 448 Sequoyah Trl, Cherokee, NC 28719 | 2020-07-24 |
| 1598381782 | Rose Hope Therapy Wellness Center | Registered Nurse | 543 Cox Rd Ste D2, Gastonia, NC 28054-0616 | 2020-06-23 |
| 1932413747 | Terresa A Long | Registered Nurse | 710 Sunset Blvd N Ste A, Sunset Beach, NC 28468-4340 | 2010-08-04 |
| 1326276767 | Ruth A Anderson | Registered Nurse | Duke University School of Nursing, 307 Trent Dr., Dumc #3322, Durham, NC 27710-0001 | 2009-06-24 |
| 1154465680 | Edward Joseph Deverges IIi | Registered Nurse | 16 Reynolds Pl, Asheville, NC 28804-2330 | 2007-02-17 |
| 1073110417 | Suzanna Lynn Devane | Registered Nurse | 3580 Nc Highway 14, Reidsville, NC 27320-8746 | 2020-10-08 |
| 1174133110 | Christen Cathy | Registered Nurse | 6 Roberts Rd Ste 103, Asheville, NC 28803-6631 | 2020-08-05 |
| 1306470026 | Stefanie Robinson | Registered Nurse | 901 Old Mars Hill Hwy Ste 3, Weaverville, NC 28787-8628 | 2020-03-03 |
| 1114550183 | Linda Darnell Olowofoyeku | Registered Nurse | 508 Eastway Dr, Charlotte, NC 28205-1421 | 2020-02-19 |
| 1477103810 | Christina M Stone | Registered Nurse | 123 Professional Park Dr Ste 101, Mooresville, NC 28117-5516 | 2019-09-18 |
| Find all providers with the same taxonomy | ||||
| City | GREENSBORO |
| Zip Code | 27405 |
Please comment or provide details below to improve the information on TAMI 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.