Holly Marie Ellis-Ponomarev, RN, BSN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

992603 Issued in CO

Practice address

6509 S Santa Fe Dr
Littleton, CO 80120-2910

Phone

(303) 730-8858

NPI assigned

Jun 24, 2016

Last updated

Mar 17, 2020By 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 2

Addresses

Other names 1

• Holly Ellis Professional name

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor on Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arapahoe Mental Health Center, Inc

  dba AllHealth Network

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Parker, CO
  • NPI 1437763968
  Medicare reassignment NPD
• Arapahoe Mental Health Center Inc.

  dba AllHealth Network

  • Counselor
  • Englewood, CO
  • NPI 1194720656
  NPD
• Arapahoe Mental Health Center, Inc

  • Substance Abuse Rehabilitation Facility
  • Watkins, CO
  • NPI 1710868609
  NPD
• Compass Colorado Healthcare Systems, Inc.

  • Psychiatry Physician
  • Loveland, CO
  • NPI 1558988337

  Psychiatric/Mental Health

  NPD (past)

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

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1437500097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 POTOMAC ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800116844",
            "telephone_number": "303-360-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6509 S SANTA FE DR",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801202910",
            "telephone_number": "303-730-8858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1615 Foxtrail Dr Ste 230",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "CO",
            "postal_code": "805389087",
            "country_code": "US",
            "telephone_number": "970-820-0470",
            "fax_number": "877-720-0502",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9218 Kimmer Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lone Tree",
            "state": "CO",
            "postal_code": "801246733",
            "country_code": "US",
            "telephone_number": "303-683-5620",
            "fax_number": "303-683-5609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIS-PONOMAREV",
        "first_name": "HOLLY",
        "middle_name": "MARIE",
        "credential": "RN, BSN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-24",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "992603",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "992603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "ELLIS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Elizabeth J Hill DDS PC
• Amy D Elkins, CNM
• Alison Ellerbroek, MA, CCC-SLP
• Aimee Ellinwood, LPC
• Laurie Elliott, MSW, LCSW
• Edward Eugene Ellis, O.D.
• Jennifer M Elpers, LCSW, CAC III
• Bailey Emanuel
• Embark Counseling LLC
• Embick-Ventures (american ramps)

• Psychiatric/Mental Health Nurse Practitioner in Littleton, CO
• Providers in Littleton, CO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.