Janet Raye Ellis, CST, LFA

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

License

SA00066 Issued in TX

Practice address

4601 50TH St
Suite 106
Lubbock, TX 79414-3513

Phone

(806) 785-2093

NPI assigned

Feb 21, 2007

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.

• Southwest Surgical Assistants, Inc.

  • Surgical Technologist
  • Lubbock, TX
  • NPI 1245351410
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063547271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 E 19TH ST",
            "city": "WOLFFORTH",
            "state": "TX",
            "postal_code": "793822809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 50TH ST",
            "address_2": "SUITE 106",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794143513",
            "telephone_number": "806-785-2093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "JANET",
        "middle_name": "RAYE",
        "credential": "CST, LFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "TX",
            "license": "SA00066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karsen Elliot
• Ashley Elliott, DNAP, CRNA
• Jessica Elliott
• Robin Elliott
• Kelsey Ellis-Lepard
• Joshuah Ellis, MS, LPC
• Marawan Abdelghany Elmassry Sr.
• Amy Christine Elmore, RN
• Mary Patrice Elmore, RNC, WHNP
• Mohamed A. Elsaadani, MD

• Surgical Technologist in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Surgical Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.