Active NPI
Ava Ellis
- Doula
- Farmington, AR
National Provider Identifier
1619709987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 219 E Anabranch CT
Farmington, AR 72730-3082 - Phone
- (619) 797-0708
- NPI assigned
- Aug 15, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | Primary |
Addresses
Primary practice location
219 E Anabranch CT
Farmington, AR 72730-3082
Mailing address
219 E Anabranch CT
Farmington, AR 72730-3082
Phone (619) 797-0708
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jaclyn Start Dba Ozark Origins | Doula | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Doula
- Fayetteville, AR
- NPI 1548128184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723680000000",
"number": "1619709987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 E ANABRANCH CT",
"city": "FARMINGTON",
"state": "AR",
"postal_code": "727303082",
"telephone_number": "619-797-0708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 E ANABRANCH CT",
"city": "FARMINGTON",
"state": "AR",
"postal_code": "727303082",
"telephone_number": "619-797-0708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIS",
"first_name": "AVA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-15",
"last_updated": "2024-08-15",
"certification_date": "2024-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmington, AR
- Sheri Lynn Davis, LPTA
- Stephanie Jane Dobbins, M.S. C.F. S.L.P.
- Caroline Michelle Dyer, OTD, OTR/L
- Education and Behavioral Consulting Services of Arkansas LLC
- Elevation Family Healthcare, PLLC
- Lindsey Estes
- Samantha Renee Evans, M.S. SLP
- Exceed Physical Therapy, Inc.
- Faith Works on the Spectrum, LLC
- Farmington Family Medical LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.