Jeromy M Ellis, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

812423 Issued in CA

Practice address

11260 B Ave
Auburn, CA 95603-2607

Phone

(530) 745-8660

Fax

(530) 886-4870

NPI assigned

Oct 21, 2026

Last updated

Oct 21, 2026By 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": "1792540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792540800000",
    "number": "1841197035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11260 B AVE",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956032607",
            "telephone_number": "530-745-8660",
            "fax_number": "530-886-4870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11260 B AVE",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956032607",
            "telephone_number": "530-745-8660",
            "fax_number": "530-886-4870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "JEROMY",
        "middle_name": "M",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-10-21",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "812423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Healy Elders, RN, BSN
• Hailey Marie Elias, M.S., CCC-SLP
• Annette A Elliott, OTA
• Liana A Elliott
• Tonya Elan Elliott, LMFT
• Emeritus Corporation (Brookdale Auburn)
• Emeritus Corporation (Emeritus at Emerald Hills)
• Nadine Enderlin
• Edward Harold Enefer, D.D.S.
• Chelsea Engberg

• Registered Nurse in Auburn, CA
• Providers in Auburn, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.

Verify at the official NPI Registry.