Active NPI
Heather Kaye Ellis, D.C.
- Chiropractor
- Cleburne, TX
National Provider Identifier
1194963397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 11046
- Practice address
- 908 W Henderson St
Cleburne, TX 76033-4836 - Phone
- (817) 487-0099
- Fax
- (682) 292-2982
- NPI assigned
- Jan 26, 2009
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 11046 | TX | Primary |
Addresses
Primary practice location
908 W Henderson St
Cleburne, TX 76033-4836
Mailing address
908 W Henderson St
Cleburne, TX 76033-4836
Phone (817) 487-0099
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11046 | TX | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texans for Chiropractic Wellness | Chiropractor | Current | Accepting new patients |
| Corpus Christi Regenerative Therapy PLLC | Past | Accepting new patients |
Locations
908 W Henderson St
Cleburne, TX 76033
Phone (817) 202-8464
Organizations & group practices 2
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.
-
- Chiropractor
- Cleburne, TX
- NPI 1487285979
-
- General Practice Physician
- Corpus Christi, TX
- NPI 1487291142
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641427200000",
"number": "1194963397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "908 W HENDERSON ST",
"city": "CLEBURNE",
"state": "TX",
"postal_code": "760334836",
"telephone_number": "817-487-0099",
"fax_number": "682-292-2982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "908 W HENDERSON ST",
"city": "CLEBURNE",
"state": "TX",
"postal_code": "760334836",
"telephone_number": "817-487-0099",
"fax_number": "682-292-2982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIS",
"first_name": "HEATHER",
"middle_name": "KAYE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-26",
"last_updated": "2022-01-06",
"certification_date": "2022-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "11046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleburne, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.