Bobby Ellis

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Practice address

2325 E Camelback Rd Ste 400
Phoenix, AZ 85016-3514

Phone

(954) 951-3482

NPI assigned

Jun 18, 2024

Last updated

Jun 18, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1639912348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 N CENTRAL AVE 2361",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041668",
            "telephone_number": "323-527-3538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 E CAMELBACK RD STE 400",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163514",
            "telephone_number": "954-951-3482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "BOBBY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-18",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Elliott, LMFT
• Nicole Elliott, LPN
• Nicole Elliott, LPC
• Sheila Lorene Elliott
• Amy L Ellis, MNS CCC SLP
• Chad Vinton Ellis, D.C.
• Christopher Ray Ellis, PT
• Courtney Ellis
• Jason Dean Ellis, LMFT
• Justin James Ellis

• Health & Wellness Coach in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Health & Wellness Coach in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.

Verify at the official NPI Registry.