Active NPI
Cheerish S Ellis, NA
- Personal Care Attendant
- Blair, NE
National Provider Identifier
1790227692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- License
- 125151
- Practice address
- 4721 Trout LN
Blair, NE 68008-6286 - Phone
- (402) 658-8200
- NPI assigned
- Nov 8, 2016
- Last updated
- Sep 29, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | 125151 | NE | Primary |
| Home Modifications Contractor | 171WH0202X | 125151 | NE |
Addresses
Primary practice location
4721 Trout LN
Blair, NE 68008-6286
Mailing address
4721 Trout LN
Blair, NE 68008-6286
Phone (402) 658-8200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 125151 | Other | NE | STATE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125151 | NE | MD | Personal Care Attendant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1790227692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4721 TROUT LN",
"city": "BLAIR",
"state": "NE",
"postal_code": "680086286",
"telephone_number": "402-658-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4721 TROUT LN",
"city": "BLAIR",
"state": "NE",
"postal_code": "680086286",
"telephone_number": "402-658-8200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIS",
"first_name": "CHEERISH",
"middle_name": "S",
"name_prefix": "Ms.",
"credential": "NA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-08",
"last_updated": "2026-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "NE",
"license": "125151",
"primary": true
},
{
"code": "171WH0202X",
"taxonomy_group": "",
"desc": "Contractor, Home Modifications",
"state": "NE",
"license": "125151",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE",
"identifier": "125151",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Blair, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.