Sasha Mecole Ellison, CNA
Individual provider Active NPI Nurse's Aide · Talbott, TN
NPI 1306575725 · NPPES record last updated Jun 9, 2022
Key facts
- NPI
- 1306575725
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- License
- 161178 (TN)
- Practice address
- 6350 W Andrew Johnson Hwy
Talbott, TN 37877-8605 - Phone
- (423) 587-7337
- Fax
- (423) 586-0614
- NPI assigned
- Jun 9, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 161178 | TN | MD | Nurse's Aide |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 161178 | TN | Yes |
Addresses
Primary practice location
6350 W Andrew Johnson Hwy
Talbott, TN 37877-8605
Mailing address
1923 Sulphur Springs Rd
Morristown, TN 37813-5654
Phone (423) 317-9344
Other providers in Talbott, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.