Active NPI
Ellis Diabetes Education & Consulting, LLC.
- Family Nurse Practitioner
- Cedar Hill, TX
National Provider Identifier
1235890195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- ELLIS DIABETES EDUCATION & CONSULTING, LLC.
- Practice address
- 707 Carolyn T. Hill Dr.
Cedar Hill, TX 75104-7510 - Phone
- (817) 908-5519
- NPI assigned
- Jan 4, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kimberly Frances Ellis, FNP-C, CDCES
- Title
- Nurse Practitioner
- Phone
- (817) 908-5519
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
707 Carolyn T. Hill Dr.
Cedar Hill, TX 75104-7510
Mailing address
707 Carolyn T. Hill Dr.
Cedar Hill, TX 75104
Phone (817) 908-5519
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | info@ellisdiabetes.com | Direct |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641254400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1645401600000",
"number": "1235890195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 CAROLYN T. HILL DR.",
"city": "CEDAR HILL",
"state": "TX",
"postal_code": "75104",
"telephone_number": "817-908-5519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 CAROLYN T. HILL DR.",
"city": "CEDAR HILL",
"state": "TX",
"postal_code": "751047510",
"telephone_number": "817-908-5519"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELLIS DIABETES EDUCATION & CONSULTING, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-04",
"last_updated": "2022-02-21",
"certification_date": "2022-02-21",
"status": "A",
"authorized_official_last_name": "ELLIS",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "FRANCES",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "817-908-5519",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "FNP-C, CDCES"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "info@ellisdiabetes.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "707 Carolyn T. Hill Dr.",
"city": "Cedar Hill",
"state": "TX",
"country_code": "US",
"postal_code": "751047510",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Cedar Hill, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.