MS. KELLY MICHELLE ELLIS (NPI# 1992014971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992014971 |
| Entity Type | Individual |
| Full Name | MS. KELLY MICHELLE ELLIS |
| Practice Address |
4230 Tree Moss Pl Humble TX 77346-4560 |
| Mailing Address |
2407 Perry St Baytown TX 77521-1074 |
| Practice Telephone | 2814544497 |
| Mailing Telephone | 2818961198 |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2010-09-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246RP1900X |
Technician, Pathology Specialization: Phlebotomy |
CPT14091 | CA | Technologists, Technicians & Other Technical Service Providers |
| N | 246Z00000X | Specialist/Technologist, Other | CERTIFIED BIOTEC | CA | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821615279 | Kelly Ellis | Nurse Practitioner | 585 S Union St, Sparta, MI 49345-1505 | 2020-07-01 |
| 1194346759 | Kelly Nicole Ellis | Registered Nurse | 13819 County Road 1131, Flint, TX 75762-2419 | 2020-05-05 |
| 1205455789 | Kelly Wynell Ellis | Physical Medicine & Rehabilitation | 5502 San Juan Dr, Toledo, OH 43612-3336 | 2020-04-14 |
| 1306348834 | Kelly Ellis | Chore Provider | 5033 Saint Annes Dr, Las Vegas, NV 89149-5717 | 2018-02-28 |
| 1104226109 | Kelly Ellis | Student in an Organized Health Care Education/Training Program | 9621 Fontainebleau Blvd, 515, Miami, FL 33172-6814 | 2014-08-26 |
| 1417189929 | Kelly Pinney Ellis | Counselor | 404 Broadway St, Suite B, South Haven, MI 49090-1421 | 2009-08-17 |
| 1922233246 | Kelly Abbott Ellis | Physical Therapist | 4953 Macaw Ct Ne, Marietta, GA 30066-1286 | 2009-05-17 |
| 1407941057 | Kelly Leigh Ellis | Family Medicine | 301 N 27th St Ste 2, Norfolk, NE 68701-4457 | 2006-10-03 |
| 1073548186 | Kelly Ann Ellis | Social Worker | 39760 Black Mesa Ln, Palm Desert, CA 92260 | 2006-07-11 |
| 1760778559 | Kelly Ellis | Occupational Therapy Assistant | 4109 Highway 98 W, Summit, MS 39666-9132 | 2011-06-21 |
| Street Address |
4230 TREE MOSS PL |
| City | HUMBLE |
| State | TX |
| Zip Code | 77346-4560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932668605 | Assistant Living Companions, LLC | Adult Companion | 4230 Tree Moss Pl, Humble, TX 77346-4560 | 2019-03-13 |
| 1548696651 | Kelly's House of Open Arms | Community/Behavioral Health | 4230 Tree Moss Pl, Humble, TX 77346-4560 | 2013-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194336024 | Chandler Dejean | Dentist | 7315 Farm To Market 1960 Rd E, Humble, TX 77346 | 2020-08-13 |
| 1184275281 | Lakeshia Williams | Technician | 7419 Auburn Oak Trail, Humble, TX 77346 | 2019-09-20 |
| 1720557275 | Soh of Texas Samson Liu Pllc | Dentist | Fm 1960 #204, Humble, TX 77346 | 2018-11-14 |
| 1548774979 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 17900 West Lake Houston Highway, Houston, TX 77346 | 2017-11-21 |
| 1194267187 | Family Ties Living Center | Clinic/Center | 18707 Timbers Trace Drive, Humble, TX 77346 | 2016-11-08 |
| 1992254809 | Adam Thomas Huval | Registered Nurse | 20440 Us-59 #500, Humble, TX 77346 | 2016-10-03 |
| 1770953408 | Alliance Mri Lake Houston, LLC | Clinic/Center | 5514 Atascocita Road, Suite 180, Humble, TX 77346 | 2015-10-07 |
| 1740670975 | Ayesha Mohiuddin | Pediatrics | 17903 W Lake Houston Pkwy Ste 202, Atascocita, TX 77346 | 2015-01-26 |
| 1124422415 | Christopher Roath | Behavioral Analyst | 5364 Farm To Market 1960 Rd E, Humble, TX 77346 | 2014-10-15 |
| 1982004099 | Kimberly Fulghum | Registered Nurse | 19406 Texas Laurel Trl, Humble, TX 77346 | 2014-08-26 |
| Find all providers in zip 77346 | ||||
| Taxonomy Code | 246RP1900X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Pathology |
| Specialization | Phlebotomy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710345707 | Irena Lorraine James | Technician, Pathology | 15014 Sunset Villa Ct, Humble, TX 77396-6116 | 2016-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051557 | Jyotsna Jerome | Technician, Pathology | 9809 Shallow Creek Dr, Waco, TX 76708-6199 | 2020-10-20 |
| 1841898939 | Hunters Mobile Lab | Technician, Pathology | 4118 Mineral Haven Dr, Houston, TX 77048-5554 | 2020-10-12 |
| 1316545593 | Flinda Gail Rayson | Technician, Pathology | 13020 Dairy Ashford Rd Ste 110, Sugar Land, TX 77478-4663 | 2020-10-11 |
| 1851907075 | Push Phlebotomy LLC | Technician, Pathology | 1650 7th St Ste 17, Huntsville, TX 77320-3853 | 2020-09-22 |
| 1124634811 | Miriam Schindelmeiser | Technician, Pathology | 205 Quail Creek Dr, Crowley, TX 76036-2209 | 2020-09-18 |
| 1205453354 | Ks Health Services, LLC | Technician, Pathology | 1300b Bay Area Blvd Ste 205, Houston, TX 77058-2564 | 2020-07-05 |
| 1275150864 | Elke Giles | Technician, Pathology | 3725 Mill Height Dr, Arlington, TX 76014-4328 | 2020-06-29 |
| 1043839582 | Shuntoyia Yshay Shaw | Technician, Pathology | 9149 Barbaro Dr Apt 7108, Fort Worth, TX 76140-1889 | 2020-04-14 |
| 1326677295 | Brittney Johnson | Technician, Pathology | 4200 E Stan Schlueter Loop Ste E, Killeen, TX 76542-8300 | 2020-04-03 |
| 1427684794 | Karina Verali Paiz | Technician, Pathology | 1100 Mount Ln, Rhome, TX 76078-5413 | 2020-03-19 |
| 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.