Michelle Nakiesha Ellis, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN141778-M-IV Issued in OH

Practice address

25110 Tryon Rd
Oakwood Village, OH 44146

Phone

(216) 799-7577

NPI assigned

Oct 19, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Concierge Health Services LLC

  • Clinic/Center
  • Oakwood Village, OH
  • NPI 1275009243
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493337600000",
    "number": "1023328499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25110 TRYON RD",
            "city": "OAKWOOD VILLAGE",
            "state": "OH",
            "postal_code": "441466051",
            "telephone_number": "216-799-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25110 TRYON RD",
            "city": "OAKWOOD VILLAGE",
            "state": "OH",
            "postal_code": "44146",
            "telephone_number": "216-799-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "MICHELLE",
        "middle_name": "NAKIESHA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-19",
        "last_updated": "2017-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN141778-M-IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cuyahoga Community College
• Cuyahoga County BD. of MRDD
• Cuyahoga Valley Mindful Health and Wellness LLC
• Diligence Services LLC
• Twila Patricia Dowdell, RN
• Embassy Homecare, LLC
• Embassy Hospice Service, LLC
• Emerging Hope Behavioral Services, LLC
• Family First Audiology Services, LLC
• Felton &Associates

• Licensed Practical Nurse in Oakwood Village, OH
• Providers in Oakwood Village, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.