Active NPI
Gretchel Ellis, GRETCHEL ELLIS
- Home Health Aide
- Alexandria, LA
National Provider Identifier
1023735834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 11529227
- Practice address
- 707 Applewhite St
Alexandria, LA 71302-6218 - Phone
- (318) 664-0966
- NPI assigned
- Oct 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 11529227 | LA | Primary |
Addresses
Primary practice location
707 Applewhite St
Alexandria, LA 71302-6218
Mailing address
707 Applewhite St
Alexandria, LA 71302-6218
Phone (318) 664-0966
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11529227 | LA | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666310400000",
"number": "1023735834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 APPLEWHITE ST",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713026218",
"telephone_number": "318-664-0966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 APPLEWHITE ST",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713026218",
"telephone_number": "318-664-0966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIS",
"first_name": "GRETCHEL",
"credential": "GRETCHEL ELLIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-21",
"last_updated": "2022-10-21",
"certification_date": "2022-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "LA",
"license": "11529227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.