Tamera Katrina Ellis

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

600 West St
Cedar Springs, MI 49319-9699

Phone

(231) 268-0360

NPI assigned

Jul 8, 2019

Last updated

Jul 22, 2026By the provider in NPPES

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

Other names 1

• Tamera Katrina Rutherford Former name

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": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1295397404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2990 WETMORE DR",
            "city": "ALLEGAN",
            "state": "MI",
            "postal_code": "490108538",
            "telephone_number": "269-254-7063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 WEST ST",
            "city": "CEDAR SPRINGS",
            "state": "MI",
            "postal_code": "493199699",
            "telephone_number": "231-268-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "TAMERA",
        "middle_name": "KATRINA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-08",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMERA",
            "last_name": "RUTHERFORD",
            "middle_name": "KATRINA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christina Deyonker, D.O.
• Sanju Dhakal
• Kenneth Paul Dood, D.O.
• Kimberly Droski, PA-C
• Lisa El-Alam, LMSW, CCTPII
• Carresa Esch
• Justin Thomas Feliczak
• Madison Ferguson, DPT
• Danika Elizabeth Fessenden
• Frances Grace Flores

• Behavior Technician in Cedar Springs, MI
• Providers in Cedar Springs, MI by specialty
• Behavior Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.