ALISA ELLIS (NPI# 1881879039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881879039 |
| Entity Type | Individual |
| Full Name | ALISA ELLIS |
| Credential | LCPC |
| Practice Address |
2001 S Woodruff Ave Suite 6 Idaho Falls ID 83404-6374 |
| Practice Telephone | 2085294673 |
| Practice Fax Number | 2085294676 |
| Mailing Telephone | 2085294673 |
| Mailing Fax Number | 2085294676 |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2008-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LCPC-3497 | ID | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992297394 | Alisa Ruth Ellis | Specialist | 2320 Court North Dr, Melville, NY 11747-8147 | 2018-05-31 |
| Street Address |
2001 S WOODRUFF AVE SUITE 6 |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404-6374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902809221 | James L. Richards | Surgery | 2001 S Woodruff Ave, Ste 3, Idaho Falls, ID 83404-6371 | 2005-05-31 |
| 1568912962 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 2001 S Woodruff Ave, Suite 7, Idaho Falls, ID 83404-6374 | 2016-10-10 |
| 1780043042 | Teton Obstetrics and Gynecology Pa | Obstetrics & Gynecology | 2001 S Woodruff Ave, Suite 10, Idaho Falls, ID 83404-6374 | 2016-02-15 |
| 1730563909 | Radial First Cardiovascular Associates, LLC | Internal Medicine | 2001 S Woodruff Ave, Suite 3, Idaho Falls, ID 83404-6371 | 2015-07-16 |
| 1609263482 | Chad Steven Dahle | Spec/Tech, Cardiovascular | 2001 S Woodruff Ave, Suite 12 B, Idaho Falls, ID 83404-6374 | 2015-04-20 |
| 1225314677 | Janae Lynn Dye | Respiratory Therapist, Certified | 2001 S Woodruff Ave, Idaho Falls, ID 83404-6374 | 2011-10-31 |
| 1366747594 | Will G Stewart | Respiratory Therapist, Registered | 2001 S Woodruff Ave, Suite 12b, Idaho Falls, ID 83404-6374 | 2011-01-19 |
| 1043546260 | Ihc Health Services Inc | Internal Medicine | 2001 S Woodruff Ave, #12, Idaho Falls, ID 83404-6374 | 2009-10-22 |
| 1609008614 | Blake A. Stragier | Technician, Cardiology | 2001 S Woodruff Ave, Suite 12 B, Idaho Falls, ID 83404-6374 | 2009-08-10 |
| 1770712762 | Brandy Skaar | Respiratory Therapist, Registered | 2001 S Woodruff Ave, Suite 12 B, Idaho Falls, ID 83404-6374 | 2009-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
| 1427618958 | Eastern Idaho Endodontics | Dentist | 3335 S. Holmes Ave, Idaho Falls, ID 83404 | 2019-06-17 |
| 1942863600 | Muhammad Arslan Khan | Student in an Organized Health Care Education/Training Program | 2860 Channing Way Suite 214, Idaho Falls, ID 83404 | 2019-04-18 |
| 1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
| 1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
| 1083196380 | Hannah Golden | Occupational Therapist | 1460 Elk Creek, Idaho Falls, ID 83404 | 2018-09-04 |
| 1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
| 1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
| 1093237935 | Jason Earl Bailey | Contractor | 3100 S Woodruff Ave., Idaho Falls, ID 83404 | 2017-07-12 |
| 1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
| Find all providers in zip 83404 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648015 | Abigail Oakley | Counselor | Tueller Counseling Services, 2275 W Broadway Suite G, Idaho Falls, ID 83402 | 2020-10-30 |
| 1427670314 | Richard Meyers | Counselor | 2052 Jennie Lee Dr Ste 2, Idaho Falls, ID 83404-7056 | 2020-05-13 |
| 1154966760 | Christine Nicole Cardona | Counselor | 855 N. Captital Ave Ste 1, Idaho Falls, ID 83402 | 2019-11-07 |
| 1063923597 | Jared Roberts | Counselor | 550 W Sunnyside Rd, Idaho Falls, ID 83402-4619 | 2017-10-24 |
| 1982051694 | Stephen Nelson | Counselor | 1582 N Holmes Ave, Idaho Falls, ID 83401-2032 | 2016-05-23 |
| 1043689029 | Kirk Thiemann | Counselor | 115 E 16th St, Idaho Falls, ID 83404-5919 | 2015-09-19 |
| 1942632153 | Kevin L Lindley | Counselor | 1904 Jennie Lee Dr, Idaho Falls, ID 83404-6159 | 2013-07-30 |
| 1710325444 | Eric Olson | Counselor | 320 B St Ste 110, Idaho Falls, ID 83402-3547 | 2013-06-04 |
| 1427315084 | Healing Heands Reiki and Massage, LLC | Counselor | 429 B St, Idaho Falls, ID 83402-3544 | 2012-04-19 |
| 1497028161 | Shirley Joann Koester | Counselor | 901 Pier View Dr, Suite 204, Idaho Falls, ID 83402-5070 | 2012-02-10 |
| Find all providers in IDAHO FALLS | ||||
| City | IDAHO FALLS |
| Zip Code | 83404 |
Please comment or provide details below to improve the information on ALISA 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.