TERRI DIANE ELLIS (NPI# 1841468634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841468634 |
| Entity Type | Individual |
| Full Name | TERRI DIANE ELLIS |
| Practice Address |
301 Andrews Ave. Fort Rucker AL 36362-0000 |
| Practice Telephone | 3342557883 |
| Practice Fax Number | 3342557090 |
| Mailing Telephone | 3342557883 |
| Mailing Fax Number | 3342557090 |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2008-02-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP2201X |
Registered Nurse Specialization: Ambulatory Care |
1-061216 | AL | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306257639 | Terri Ellis | Community Health Worker | 925 Highway V V, Kennett, MO 63857-0071 | 2014-05-08 |
| 1750605515 | Terri M. Ellis | Speech-Language Pathologist | 545 Old Norcross Rd, Suite 100, Lawrenceville, GA 30046-3389 | 2010-03-23 |
| Street Address |
301 ANDREWS AVE. |
| City | FORT RUCKER |
| State | AL |
| Zip Code | 36362-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891784013 | Steven John Gaydos | Emergency Medicine | 301 Andrews Ave., Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 | 2005-10-20 |
| 1750840377 | Sunyoung Oh Kim | General Practice | 301 Andrews Ave., Fort Rucker, AL 36362 | 2019-03-13 |
| 1194245530 | Jeremy Erin Omealey | Emergency Medical Technician, Basic | 301 Andrews Ave., Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 | 2017-06-27 |
| 1104201656 | Ashley Barnes | Licensed Practical Nurse | 301 Andrews Ave., Lyster Army Health Clinic Building, Fort Rucker, AL 36362-5333 | 2015-07-27 |
| 1023390580 | Donna Tacey | Specialist/Technologist | 301 Andrews Ave., Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 | 2011-09-12 |
| 1295020352 | Matthew Nicholas Mascitelli | Psychologist | 301 Andrews Ave., Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 | 2011-06-16 |
| 1649576547 | Alisha Harvey | Physical Therapist | 301 Andrews Ave., Fort Rucker, AL 36362-5350 | 2011-02-10 |
| 1306162813 | Gregory Dwight Gilliam | Emergency Medical Technician, Paramedic | 301 Andrews Ave., Lyster Army Health Clinic, Fort Rucker, AL 36362 | 2010-04-09 |
| 1639492358 | Denece Clayborne | Registered Nurse | 301 Andrews Ave., Fort Rucker, AL 36362-2334 | 2010-03-09 |
| 1437483633 | Janet P Andrews | Audiologist | 301 Andrews Ave., Fort Rucker, AL 36362 | 2009-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235745571 | Rachel Kestler | Specialist | 4102 Gadiator Street, Fort Rucker, AL 36362 | 2020-09-22 |
| 1417589268 | Jacob Michael Lezon | Emergency Medical Technician, Basic | 30501 Nevins St., Ft. Rucker, AL 36362 | 2020-02-10 |
| 1225535388 | Rhonda Lewis Wesolek | Dental Hygienist | Bldg 4405, Innkeeper Street, Fort Rucker, AL 36362 | 2018-04-06 |
| 1770013369 | National Vision, Inc. | Technician/Technologist | Bldg 9214, Fort Rucker, AL 36362 | 2017-06-15 |
| 1750730958 | Teresa Morgan Knighten | Dental Hygienist | 4405 Innkeepers St, Fort Rucker, AL 36362 | 2016-06-08 |
| 1568826246 | David Virgil II | Technician, Other | 2218 6th Avenue Building 4102, Fort Rucker, AL 36362 | 2016-04-08 |
| 1356771257 | Robert E Smith | Emergency Medical Technician, Intermediate | Blding 301 Andrew Ave, Ft Rucker, AL 36362 | 2013-11-14 |
| 1548503469 | Lindsey Taylor Mendenhall | Emergency Medical Technician, Basic | Bldg 301 Andrews Ave 1-223rd Hhc, Lyster Army Health Clinic, Fort Rucker, AL 36362 | 2013-03-28 |
| 1689913808 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | Fort Rucker Bldg. 9214, Daleville, AL 36362 | 2013-02-07 |
| 1275880205 | Sandra Lynn Griffin Banner | Optometrist | 33 Endl Ave, Fort Rucker, AL 36362 | 2012-08-09 |
| Find all providers in zip 36362 | ||||
| Taxonomy Code | 163WP2201X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Ambulatory Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447428297 | Sharla Denise Shafer | Registered Nurse | 301 Andrew Ave., Fort Rucker, AL 36362 | 2008-02-14 |
| 1073069217 | Marissa B Williams | Registered Nurse | 301 Andrews Ave, Fort Rucker, AL 36362-2350 | 2016-08-28 |
| 1679853865 | Charlotte Marie Ard | Registered Nurse | Bldg 301 Andrews Ave, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 | 2011-08-19 |
| 1265666879 | Kathy Ann Holland | Registered Nurse | Bldg 301, Andrews Ave, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 | 2009-05-11 |
| 1144471376 | Pamela S. Halsey | Registered Nurse | Andrews Ave Building 301, Fort Rucker, AL 36362-5333 | 2008-10-07 |
| 1992975874 | Debra S Crosby | Registered Nurse | 301 Andrews Avenue, Fort Rucker, AL 36362 | 2008-03-06 |
| 1346428778 | Margaret J Spears | Registered Nurse | 301 Andrews Avenue, Fort Rucker, AL 36362 | 2008-02-07 |
| 1386822203 | Alexa E Yohn | Registered Nurse | 301 Andrews Avenue, Fort Rucker, AL 36362 | 2008-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811313968 | Pamela Valda Smith | Registered Nurse | 608 42nd Pl N, Birmingham, AL 35222-1137 | 2014-03-13 |
| 1407484058 | Da Som Choi | Registered Nurse | 440b Saint Lukes Dr, Montgomery, AL 36117-7104 | 2020-03-30 |
| 1356886949 | Tamika Harris | Registered Nurse | Uab Community Psychiatry, 908 20th Street South Rm 487, Birmingham, AL 35294-0001 | 2017-01-05 |
| 1043601529 | Traci Marlowe | Registered Nurse | 140 Village St, Suite 100, Birmingham, AL 35242-6410 | 2015-02-05 |
| 1538146535 | Ada Mirea Collier | Registered Nurse | 8501 Tanner Williams Rd, Mobile, AL 36608-8322 | 2005-12-30 |
| City | FORT RUCKER |
| Zip Code | 36362 |
Please comment or provide details below to improve the information on TERRI DIANE 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.