Delores Marie Ellis, ARNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

RN101641 Issued in AZ

Practice address

3601 S 6TH Ave
11-136B4
Tucson, AZ 85723-0001

Phone

(520) 792-1450

NPI assigned

Apr 21, 2006

Last updated

Dec 13, 2013By 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)

Not enrolled

State licenses

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386892800000",
    "number": "1619933405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3526 S WHITE GOLD AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857359055",
            "telephone_number": "520-578-4019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 S 6TH AVE",
            "address_2": "11-136B4",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857230001",
            "telephone_number": "520-792-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "DELORES",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-21",
        "last_updated": "2013-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AZ",
            "license": "RN101641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garnett Craig Elliott, LCSW
• Laura Lorraine Elliott, FNP
• Thomas R Elliott, M.D.
• Ellis House
• Colleen Mary Ellis, FNP-C
• Donna R Ellis, CRNA
• Joanne Dee Ellis, LPC
• Kristen Ellis, RDN
• Kristen Elizabeth Ellis, PHARM.D
• Marcia K Ellis, PT

• Gerontology Nurse Practitioner in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Gerontology Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; 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.