Niekeva Ellis, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

338223 Issued in OH

Practice address

4750 Beaucroft CT
Columbus, OH 43231-5907

Phone

(614) 822-9464

NPI assigned

Sep 28, 2016

Last updated

Sep 28, 2016By the provider in NPPES

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1475020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475020800000",
    "number": "1215486543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 BEAUCROFT CT",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432315907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 BEAUCROFT CT",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432315907",
            "telephone_number": "614-822-9464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "NIEKEVA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-28",
        "last_updated": "2016-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "338223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcy Ellis
• Mary Ellis
• Megan Ann Ellis, LISW-S
• Mitchel Ellis, CRNA
• Monica L Ellis, LISW-S
• Raymond Jay Ellis, HOME HEALTH CARE
• Sara E Ellis, RN
• Starletta Mae Ellis
• Stephen Allen Ellis Jr.
• Thomas Richard Ellis, RN

• Registered Nurse in Columbus, OH
• Providers in Columbus, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; 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.