Amanda Ellis · Registered Nurse

2513 Havard Rd, Ocean Springs, MS 39564-4208

Overview

Amanda Ellis is a Registered Nurse practicing in Ocean Springs, Mississippi. The National Provider Identifier (NPI) is #1538827860, which was assigned on December 3, 2021, and the registration record was last updated on December 3, 2021. The practitioner's main practice location is at 2513 Havard Rd, Ocean Springs, MS 39564-4208; the contact telephone number is 6623461779. The primary taxonomy of Amanda Ellis is Registered Nurse (163W00000X). Amanda Ellis is licensed to practice in the state of Mississippi (#888645), Mississippi (#888645).

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Provider Information

NPI 1538827860
Entity Type Individual
Provider Name AMANDA ELLIS
Gender Female
Practice Address 2513 Havard Rd
Ocean Springs
MS 39564-4208
Practice Telephone 6623461779
Mailing Address 2513 Havard Rd
Ocean Springs
MS 39564-4208
Mailing Telephone 6623461779
Certification Date 2021-12-03
Enumeration Date 2021-12-03
Last Update Date 2021-12-03
Is Sole Proprietor Y

Doctor and Clinician Information

PAC ID 5092156141
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name AMANDA ELLIS
Primary Specialty NURSE PRACTITIONER
Organization Legal Name GULF COAST WOUND ASSOCIATES LLC
Address 4500 13th St
Gulfport
MS 39501-2515

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
N163WC0200XRegistered NurseCritical Care Medicine888645MS
Y163W00000XRegistered Nurse888645MS

Providers with the same name

Provider NameAddressTaxonomyEnumeration Date
Amanda Ellis 2960 Snelling Ave N, Ste 210, Roseville, MN 55113-2458Clinical Social Worker2016-06-14
Amanda Ellis 21545 Centre Pointe Pkwy, Santa Clarita, CA 91350-2947Addiction (Substance Use Disorder) Counselor2019-03-28
Amanda Ellis 1902 Central Ave, Fairbanks, AK 99709-4223Case Manager/Care Coordinator2021-08-13
Amanda Ellis 815 Tucker Rd Ste C, Tehachapi, CA 93561-2513Physical Therapist2015-06-09
Amanda Ellis 722 Scott St, Covington, KY 41011-2418Case Manager/Care Coordinator2014-04-11
Amanda Ellis 2751 Legends Pkwy Ste 2, Prattville, AL 36066-7754Behavior Technician2017-12-10
Amanda Ellis 600 E Garfield St, Iola, KS 66749-2034Speech-Language Pathologist2015-01-19
Amanda Ellis 6 Strathmore Rd, Natick, MA 01760-2419Behavioral Analyst2019-01-09
Amanda Ellis · Amanda Smalley 300 Saint Andrews Rd Ste 408, Saginaw, MI 48638Behavior Technician2019-06-25
Amanda Ellis 433 Temple St, New Haven, CT 06511-6803Emergency Registered Nurse2023-01-06
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Taxonomy Information

Primary Taxonomy

Code 163W00000X
Taxonomy Registered Nurse
Classification Registered Nurse
Grouping Nursing Service Providers
Definition: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Other Taxonomy

Code 163WC0200X
Taxonomy Critical Care Medicine Registered Nurse
Classification Registered Nurse
Specialization Critical Care Medicine
Grouping Nursing Service Providers
Definition: Definition to come...

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Catherine E Barr 1712 24th St, Niagara Falls, NY 14305-3147Registered Nurse2025-03-07
Gayle Houdek 4371 Fieldstone Ct, Brunswick, OH 44212-2093Registered Nurse2025-03-08
Claudia A Barzola Osorio 3667 Grim Ave Apt 2, San Diego, CA 92104-4248Registered Nurse2025-03-08
Jordan Wayne Handy 1406 6th Ave N, Saint Cloud, MN 56303-1901Registered Nurse2025-03-07
Anjanette Conaway 1801 Grant Ave, Jonesboro, AR 72401-6155Registered Nurse2025-03-07
Peter David Lagman Descallar 707 E Main St, Middletown, NY 10940-2650Registered Nurse2025-03-08
Amanda Mitzie Gordon 1301 1st Ave Apt 908, Seattle, WA 98101-2139Registered Nurse2025-03-08
Michelle Lynn Bell · Michelle Lynn Moore Po Box 562, Murphy, NC 28906Registered Nurse2025-03-08
Emily Nicole Holland 1512 E Hoffman St, Baltimore, MD 21213-2931Registered Nurse2025-03-08
Rukayat Ayodele 8211 Golden Shiner Ct, Rosenberg, TX 77469-2127Registered Nurse2025-03-08
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Location Information

Street Address 2513 HAVARD RD
City OCEAN SPRINGS
State MS
Zip Code 39564-4208
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Justina Baklarz 1104 Hanley Road, Ocean Springs, MS 39564Behavior Technician2023-06-26
Gregory Fox Baxter 3230 Cumberline Road, Apt 139, Oceans Springs, MS 39564Professional Counselor2011-04-29
Therese Anne Hanna 6900 Washington Avenue, Ocean Springs, MS 39564Family Nurse Practitioner2013-05-10
Joanna Bosco Counseling Services, LLC 2124 Government Street, Ocean Springs, MS 39564Professional Counselor2019-10-14
Jillian Kimbrell 11 Doctors Dr., Ocean Springs, MS 39564Family Nurse Practitioner2012-05-03
Carter Brand 4010 Bienville Blvd. Unit E, Ocean Springs, MS 39564Physical Therapist2023-06-26
Denise M Martin 1260 Ocean Springs Road, The Gardens, Ocean Springs, MS 39564Speech-Language Pathologist2012-09-20
Jennah Claine Ladner 1137 Ocean Springs Road, Ocean Springs, MS 39564Family Nurse Practitioner2013-02-08
Gulf Coast Sleep Medicine LLC 2112 Bienville Blvd., Suite P, Ocean Springs, MS 39564Pulmonary Disease Physician2018-02-02
Msmobileyes Inc. 2510 Bileville Blvd, Ocean Springs, MS 39564Optometrist2015-07-07
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Similar Providers

Providers with similar names

Provider NameAddressTaxonomyEnumeration Date
Amanda D Webb-Ellis 392 N Main St, Centerville, UT 84014-1819Family Nurse Practitioner2021-10-13
Amanda D Ellis · Mandy Ellis 3841 Piper St Ste T100, Anchorage, AK 99508-4674Gerontology Nurse Practitioner2020-07-15
Amanda Hunt Ellis-Thurber 1 Arch Pl, Greenfield, MA 01301-2457Mental Health Counselor2017-02-22
Amanda D Ellis 165 Howard Ave Apt 1l, Brooklyn, NY 11233-2347Case Manager/Care Coordinator2023-05-30
Amanda Ellis,Llc 2960 Snelling Ave N Ste 210, Roseville, MN 55113-2458Clinical Social Worker2017-06-18
Amanda Dawn Ellis-Pelletier 1675 W Dempster St, Park Ridge, IL 60068-1110Pediatric Critical Care Medicine Physician2008-08-15
Amanda Ellis Smith 311 Pierce Ave, Macon, GA 31204-2421Clinical Social Worker2006-01-11
Amanda Leigh Ellis 405 W Adams St, Kosciusko, MS 39090-3617Adult Health Nurse Practitioner2018-02-17
Rachel Amanda Alvidrez · Rachel Amanda Ellis 1400 Jackson St, Denver, CO 80206-2762Family Nurse Practitioner2020-07-29
Amanda Lynn Ellis 3893 E Market St, Warren, OH 44484-4706Family Nurse Practitioner2024-03-25

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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.