Roneisha Ellis

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1111 W Mockingbird LN Ste 480
Dallas, TX 75247-5062

Phone

(904) 716-7988

NPI assigned

Mar 28, 2024

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

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": "1711584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1063263135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W MOCKINGBIRD LN STE 480",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752475062",
            "telephone_number": "904-716-7988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W MOCKINGBIRD LN STE 480",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752475062",
            "telephone_number": "904-716-7988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "RONEISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Foster Ellis, M.S. CF-SLP
• James Scott Ellis, DO
• Justin Ellis
• Lauren Nicole Ellis, PA
• Paul Roscoe Ellis III, M.D.
• Sarah Nicole Ellis
• Shauna Ellis, LCSW-S
• Stephen Richard Ellis, M.D.
• Tamara Ellis
• Tara Ellis

• Case Manager/Care Coordinator in Dallas, TX
• Providers in Dallas, TX by specialty
• Case Manager/Care Coordinator in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.