Valerie Ellis, CCHT

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

230015045620610 Issued in MI

Practice address

6871 Longacre St
Detroit, MI 48228-4700

Phone

(586) 339-2444

NPI assigned

Aug 18, 2020

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

State licenses

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1417569740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6871 LONGACRE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482284700",
            "telephone_number": "586-339-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6871 LONGACRE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482284700",
            "telephone_number": "586-339-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "VALERIE",
        "credential": "CCHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "MI",
            "license": "230015045620610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Ann Ellis
• Sandra Caprece Ellis
• Sara Frances Ellis, MOT, OTR/L
• Sharon Ellis, RN
• Sonya Veronica Ellis, CCC-A
• Angela Ellison
• Matthew S Ellison, D.O.
• Sedalia Ellison, BSW, CADC
• Samantha Ellsworth, RN
• Joseph Charles Ellul, DNP, NP-C

• Nurse's Aide in Detroit, MI
• Providers in Detroit, MI by specialty
• Nurse's Aide in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.