Sherry J Ellis, HAIR SPECIALIST

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

Practice address

123 Livingston Ave Apt a-2
Albany, NY 12207-2318

Phone

(518) 210-4765

NPI assigned

Jul 20, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sherry J Ellis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1033727797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 LIVINGSTON AVE APT A-2",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122072318",
            "telephone_number": "518-210-4765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 LIVINGSTON AVE APT A-2",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122072318",
            "telephone_number": "518-210-4765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "SHERRY",
        "middle_name": "J",
        "credential": "HAIR SPECIALIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERRY",
            "last_name": "ELLIS",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Courtney Ann Ellis, MS OTR/L
• David A Ellis, M.D.
• Heather Ellis, PT
• Kelsey Ellis, CRNA
• Michael V Ellis, PH.D.
• Curtis Ellison
• Jamie E Ellwood, OTR/L
• Rebecca Ellwood, PA-C
• Kenna Elmendorf-Burns, PA-C
• Sarah L Elmendorf

• Prosthetics Case Management in Albany, NY
• Providers in Albany, NY by specialty
• Prosthetics Case Management in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.