Teresa W Ellis, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3007458 Issued in KY

Practice address

740 S Limestone Ste J107
Lexington, KY 40536-9792

Phone

(859) 323-5603

Fax

(859) 323-3704

NPI assigned

Jan 30, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

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

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tellis15328@ukhcdirect.org

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.

• Health Help Incorporated

  • Federally Qualified Health Center (FQHC)
  • MC Kee, KY
  • NPI 1770569113
  Medicare reassignment NPD
• University of Kentucky

  • Diagnostic Radiology Physician
  • Lexington, KY
  • NPI 1770771974
  Medicare reassignment NPD
• Health Help Incorporated

  • Federally Qualified Health Center (FQHC)
  • Berea, KY
  • NPI 1023094695
  NPD
• Health Help Incorporated

  • Federally Qualified Health Center (FQHC)
  • Berea, KY
  • NPI 1023814225
  NPD
• Health Help Incorporated

  • Federally Qualified Health Center (FQHC)
  • Irvine, KY
  • NPI 1427283647
  NPD
• Health Help Incorporated

  • Federally Qualified Health Center (FQHC)
  • Mount Vernon, KY
  • NPI 1437407723
  NPD
• Health Help Incorporated

  • Federally Qualified Health Center (FQHC)
  • Lancaster, KY
  • NPI 1588187504
  NPD
• Health Help Incorporated

  • Federally Qualified Health Center (FQHC)
  • Richmond, KY
  • NPI 1659358398
  NPD
• Health Help Incorporated

  • Federally Qualified Health Center (FQHC)
  • Berea, KY
  • NPI 1861477630
  NPD
• Kentucky Medical Services Foundation, Inc

  • Internal Medicine Physician
  • Lexington, KY
  • NPI 1326091448
  NPD (past)
• University of Kentucky

  • Psychiatric Hospital Unit
  • Lexington, KY
  • NPI 1821130741
  NPD (past)
• Emergency Coverage Services, PC

  • Nurse Practitioner
  • Lawrenceburg, TN
  • NPI 1053351593
  NPD (past)

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1619948569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407430936",
            "telephone_number": "606-330-7835",
            "fax_number": "606-330-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 S LIMESTONE STE J107",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405369792",
            "telephone_number": "859-323-5603",
            "fax_number": "859-323-3704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "227 Falcon Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "MT Sterling",
            "state": "KY",
            "postal_code": "403539792",
            "country_code": "US",
            "telephone_number": "859-497-5459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "TERESA",
        "middle_name": "W",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "KY",
            "license": "3007458",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024087401",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3007458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100007360",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeanne Corinne Ellis, BCBA
• Kristina Ellis, APRN, FNP-C
• Mary Allison Ellis
• Matthew Jeremy Ellis, PHARMD
• Sydney Madison Ellis
• Victoria Lynn Nichole Ellis
• Whitley J Ellis, PHARMD
• Christina Ellison
• Kristin Elizabeth Ellison, MD
• Mark Ellow

• Family Nurse Practitioner in Lexington, KY
• Providers in Lexington, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.