Jesse Ellington

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

5945 Palmilla St
#10
North Las Vegas, NV 89031-4140

Phone

(678) 933-1883

NPI assigned

Nov 22, 2011

Sex

Male

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

Practice roles

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.

• New Vision, 'LLC'

  • Behavior Analyst
  • North Las Vegas, NV
  • NPI 1174947071
  NPD (past) Authorized official

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

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321920000000",
    "number": "1821365685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5945 PALMILLA ST",
            "address_2": "#10",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890314140",
            "telephone_number": "678-933-1883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5945 PALMILLA ST",
            "address_2": "#10",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890314140",
            "telephone_number": "678-933-1883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLINGTON",
        "first_name": "JESSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-22",
        "last_updated": "2011-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elite Occupational Therapy Services
• Iliana Estella Elizardo, LMSW
• Georgia Elizarraras, PHARMD
• Mona Elkomos-Botros, MD
• Ebonie Ellington, LMSW, CSW INTERN
• Latoya Cheri Elliott
• Mikell Elliott
• Tiffany Elliott
• Brianna Emily Ellis Calderon
• Velma Ellis-Grubbs

• Rehabilitation Practitioner in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Rehabilitation Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.