Kenpril Kenise Ellis

Primary specialty

TechnicianTaxonomy code 374700000X

Practice address

194 Ainsdale Dr
Richmond Hill, GA 31324-7821

Phone

(607) 621-5676

NPI assigned

Apr 16, 2025

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Integrative Behavior Analysis LLC

  • Behavior Analyst
  • Richmond Hill, GA
  • NPI 1902558968
  NPD

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

{
    "created_epoch": "1744761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1316733298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12008 MIDDLEGROUND RD APT R7",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314193637",
            "telephone_number": "478-335-4813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 AINSDALE DR",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313247821",
            "telephone_number": "607-621-5676"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12008 Middleground Rd Apt R7",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314193637",
            "country_code": "US",
            "telephone_number": "478-335-4813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "KENPRIL",
        "middle_name": "KENISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-16",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence Ndubuisi Ejindu, B.PHARM
• Larry Nelson Elam, M.D.
• Delon Elem, PHARMD, RPH
• Flavie Eljam
• Lakendra Elliott
• Karen Lee Emenheiser, LCSW
• Epps Medical Associates of Richmond Hill
• Elisabeth Erker
• Audrea Katina Espinoza, RBT
• Essentials Homecare LLC

• Technician in Richmond Hill, GA
• Providers in Richmond Hill, GA by specialty
• Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.