Alicia Ellis, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5008942 Issued in NC

Practice address

200 New York Ave Ste 150
Oak Ridge, TN 37830-5227

Phone

(865) 835-5196

NPI assigned

Sep 21, 2016

Last updated

Apr 9, 2018By the provider in NPPES

Sex

Female

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

Enrolled in TN

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

Specialty

Nurse Practitioner

Education

University of Cincinnati College of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cedar Recovery Center of Middle Tennessee, LLCGroup PAC ID 0446671440, 42 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alicia.ellis.p1@direct.trchg.nextgenshare.com
• FHIR API: https://fhir4.healow.com/fhir/r4/DGCJBD

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.

• Cedar Recovery Center of Middle Tennessee, LLC

  • Addiction Medicine (Preventive Medicine) Physician
  • Columbia, TN
  • NPI 1801345285
  Medicare reassignment Care Compare group NPD
• Arehart Enterprises PLC

  • Interventional Pain Medicine Physician
  • Crossville, TN
  • NPI 1013566991
  Medicare reassignment NPD
• Perry County Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Linden, TN
  • NPI 1154322303
  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  TN

  Medicare reassignment NPD
• Cedar Recovery of Middle Tennessee, LLC

  dba CedarRx

  • Clinic Pharmacy
  • Lebanon, TN
  • NPI 1497458111
  NPD
• Perry County Medical Center, Inc.

  • Dental Clinic/Center
  • Linden, TN
  • NPI 1134937345
  NPD
• Holly Ridge Chiropractic & Auto Injury

  • Chiropractor
  • Holly Ridge, NC
  • NPI 1285000646
  NPD

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523232000000",
    "number": "1699223487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440210",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372440210",
            "telephone_number": "615-824-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NEW YORK AVE STE 150",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378305227",
            "telephone_number": "865-835-5196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "ALICIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-21",
        "last_updated": "2018-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5008942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Edwards, AU.D.
• Elcm Oak Ridge Leasing LLC
• Elcm Oak Ridge Management LLC
• Elite Pain Consultants, PLLC
• Jessica Ellam, NP
• Seta Lamallari Ellis, DO
• Jesse Ellsworth, DMD
• Emory Valley Center
• Endocrine Associates, P.C.
• Endoscopy Center of Oak Ridge, LLC

• Nurse Practitioner in Oak Ridge, TN
• Providers in Oak Ridge, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.