Jamaira Ellis
Individual provider Active NPI Case Manager/Care Coordinator · Cincinnari, OH
NPI 1831754902 · NPPES record last updated Feb 23, 2022
Key facts
- NPI
- 1831754902
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 6681 Beechmont Ave
Cincinnari, OH 45230-2907 - Phone
- (513) 661-6620
- NPI assigned
- May 4, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
6681 Beechmont Ave
Cincinnari, OH 45230-2907
Mailing address
6681 Beechmont Ave
Cincinnari, OH 45230-2907
Phone (513) 661-6620
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.