Quinnette Ellis, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

9449648 Issued in FL

Practice address

920 E 17TH Ave
Tampa, FL 33605-2567

Phone

(404) 553-1507

NPI assigned

Aug 14, 2019

Last updated

Aug 14, 2019By the provider in NPPES

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)

Enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Aspects of Wellness LLC

  • Adult Companion
  • St Petersburg, FL
  • NPI 1811531999
  NPD Authorized official

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1578119608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 E 17TH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336052567",
            "telephone_number": "404-553-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 E 17TH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336052567",
            "telephone_number": "404-553-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "QUINNETTE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-14",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9449648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwenneth Ellis, SW
• Heather Ellis, MA
• Liam Ty Ellis, AGACNP-BC
• Linda Ashley Ellis, RBT
• Marcia Mary Ellis, MS, OTR/L
• Rodney Jay Ellis, M.D.
• Sara Anne Ellis, PA-C
• Jasmine Alexis Ellison
• Maria Elizabeth Ellison
• Patrick Michael Ellison, M.D.

• Registered Nurse in Tampa, FL
• Providers in Tampa, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; 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.