Amanda D Ellis is a Gerontology Nurse Practitioner practicing in Anchorage, Alaska. The National Provider Identifier (NPI) is #1568070654, which was assigned on July 15, 2020, and the registration record was last updated on August 20, 2020. The practitioner's main practice location is at 3841 Piper St Ste T100, Anchorage, AK 99508-4674; the contact telephone number is 9075613211. The primary taxonomy of Amanda D Ellis is Gerontology Nurse Practitioner (363LG0600X), with specialization in Gerontology. Amanda D Ellis is licensed to practice in the state of Alaska (#158829).
| NPI | 1568070654 |
| Entity Type | Individual |
| Provider Name | AMANDA D ELLIS |
| Other Name |
MANDY ELLIS (Other Name) |
| Gender | Female |
| Credential | APRN |
| Other Credential | APRN |
| Practice Address |
3841 Piper St Ste T100 Anchorage AK 99508-4674 |
| Practice Telephone | 9075613211 |
| Mailing Address |
3841 Piper St Ste T100 Anchorage AK 99508-4674 |
| Mailing Telephone | 9075502233 |
| Certification Date | 2020-08-20 |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2020-08-20 |
| Is Sole Proprietor | N |
| PAC ID |
3870911233 Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID |
| Full Name | AMANDA D ELLIS |
| Primary Specialty | NURSE PRACTITIONER |
| Organization Legal Name | ALASKA HEART INSTITUTE |
| Address |
3841 Piper St Anchorage AK 99508-4674 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner | Gerontology | 158829 | AK |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Amanda D Ellis | 165 Howard Ave Apt 1l, Brooklyn, NY 11233-2347 | Case Manager/Care Coordinator | 2023-05-30 |
| Code | 363LG0600X |
| Taxonomy | Gerontology Nurse Practitioner |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Definition: Definition to come... |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Aniamma Alex | 270 International Cir, San Jose, CA 95119-1100 | Gerontology Nurse Practitioner | 2025-03-03 |
| Raul P Ibanez Hernandez Sr. | 3828 Bardstown Rd, Louisville, KY 40218-1527 | Gerontology Nurse Practitioner | 2025-02-25 |
| Tiffanii Sharee Johnson | 408 Zachary Way, Grantsville, UT 84029-9777 | Gerontology Nurse Practitioner | 2025-02-20 |
| Annalisa Mcbride | 535 S Orange Ave, Yuma, AZ 85364-3027 | Gerontology Nurse Practitioner | 2025-02-28 |
| Journey of Care, LLC | 5925 Alton St, Denver, CO 80238-3995 | Gerontology Nurse Practitioner | 2025-02-24 |
| Saraswati Bhetwal | 4681 College Park Dr, Round Rock, TX 78665-1526 | Gerontology Nurse Practitioner | 2025-03-05 |
| Taylor Curtis | 1150 State Rd, Cheraw, SC 29520-2048 | Gerontology Nurse Practitioner | 2025-03-04 |
| Stephanie Nicole Adams | 13149 N Dale Mabry Hwy Ste D, Tampa, FL 33618-2429 | Gerontology Nurse Practitioner | 2025-03-03 |
| Rachel Davis | 9313 Medical Plaza Dr Ste 202, Charleston, SC 29406-9176 | Gerontology Nurse Practitioner | 2025-02-26 |
| Constance Marie Turner | 12007 Japanese Maple St, Jacksonville, FL 32218-1562 | Gerontology Nurse Practitioner | 2025-02-19 |
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| Street Address |
3841 PIPER ST STE T100 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-4674 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Gabriel R Holland | 3841 Piper St Ste T100, Anchorage, AK 99508-4674 | Medical Physician Assistant | 2020-03-26 |
| Hung Nam Vo | 3841 Piper St Ste T100, Anchorage, AK 99508-4674 | Internal Medicine Physician | 2014-04-16 |
| Yuriy Tretyak | 3841 Piper St Ste T100, Anchorage, AK 99508 | Physician Assistant | 2015-05-14 |
| Hanna M Chastain | 3841 Piper St Ste T100, Anchorage, AK 99508-4674 | Physician Assistant | 2020-08-25 |
| Jasleen Kaur Tiwana | 3841 Piper St Ste T100, Anchorage, AK 99508-4674 | Internal Medicine Physician | 2014-06-10 |
| Moyukh Ghosh | 3841 Piper St Ste T100, Anchorage, AK 99508-4674 | Cardiovascular Disease Physician | 2015-04-05 |
| Leah Suzanna Hayden · Leah S Loor | 3841 Piper St Ste T100, Anchorage, AK 99508-4674 | Acute Care Nurse Practitioner | 2023-05-03 |
| Mckenzie Raquel Pulliam · Mckenzie Raquel Smith | 3841 Piper St Ste T100, Anchorage, AK 99508-4674 | Acute Care Nurse Practitioner | 2024-05-02 |
| Nathan Friederichs | 3841 Piper St Ste T100, Anchorage, AK 99508-4674 | Medical Physician Assistant | 2018-11-27 |
| Lindsay N Mcjames | 3841 Piper St Ste T100, Anchorage, AK 99508-4674 | Nurse Practitioner | 2022-08-05 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Ahmed S Abuzaid | 3841 Piper Street Suite T100, Anchorage, AK 99508-4674 | Internal Medicine Physician | 2012-06-30 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Yukon Community Recover Support Services | 3932 E 8th Ave, Anchorage, AK 99508 | Addiction (Substance Use Disorder) Counselor | 2022-06-23 |
| Laurel Seutatia Meleah | Southcentral Foundation 4501 Diplomacy Dr., Anchorage, AK 99508 | Addiction (Substance Use Disorder) Counselor | 2022-07-08 |
| Psylogic Services | 4101 University Dr., Anchorage, AK 99508 | Mental Health Counselor | 2021-01-25 |
| Kari Miles | 4048 Laurel Street, #202, Anchorage, AK 99508 | Behavior Technician | 2022-05-13 |
| Quyen Tang | 1202 E 36th Ave, Anchorage, AK 99508 | Student in an Organized Health Care Education/Training Program | 2024-06-17 |
| Danash Raja | Medical Park Family Care, 2211 E Northern Lights Blvd, Anchorage, AK 99508 | Family Medicine Physician | 2020-04-17 |
| Abigail Mary Ethel Tozier | 3331 Lake Otis Pkwy, Anchorage, AK 99508 | Behavior Technician | 2021-12-29 |
| Shannon Marie Geese | Akbh 4020 Folker Street, Anchorage, AK 99508 | Behavior Technician | 2021-08-26 |
| Kimberly Ann Hubbard | 4001 Dale Street Suite 213, Anchorage, AK 99508 | Pediatrics Physician | 2020-03-27 |
| Innovative Neurosurgery Associates, LLC | 1200 Airport Heights Drive, Suite E-355, Anchorage, AK 99508 | Neurological Surgery Physician | 2021-06-29 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Amanda L Ellis | 408 9th St Sw, Canton, OH 44707-4714 | Family Nurse Practitioner | 2019-12-06 |
| Alex Ds Ellis · Debrasue Alexandria Ellis | 129 East Line St, Bishop, CA 93514 | Marriage & Family Therapist | 2018-03-07 |
| Amanda Ellis | 2751 Legends Pkwy Ste 2, Prattville, AL 36066-7754 | Behavior Technician | 2017-12-10 |
| Robert Victor Ellis II · Rocky Ellis | 305 Crescent Ave, University Wyoming Family Practice Center, Cincinnati, OH 45215-4406 | Family Medicine Physician | 2005-12-09 |
| Amanda Ellis | 815 Tucker Rd Ste C, Tehachapi, CA 93561-2513 | Physical Therapist | 2015-06-09 |
| Audrene Ellis · Audren Janelle Ellis | 101 N Woodrow St, Little Rock, AR 72205-4341 | Counselor | 2021-10-18 |
| Amanda J Ellis | 4141 E Dickenson Pl, Denver, CO 80222-6012 | Mental Health Counselor | 2021-03-20 |
| Amanda Ellis | 4500 13th St Ste 900, Gulfport, MS 39501-2515 | Registered Nurse | 2021-12-03 |
| Amanda Ellis,Llc | 2960 Snelling Ave N Ste 210, Roseville, MN 55113-2458 | Clinical Social Worker | 2017-06-18 |
| Anthony Forrest Ellis · Andy F Ellis | 808 Ward St W, Douglas, GA 31533-3514 | Physical Therapist | 2006-08-08 |
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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 |
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. |