Makenzie Ellis, AT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

3198 Issued in TN

Practice address

2601 Jess Neely Dr
Nashville, TN 37212-2039

Phone

(615) 689-9228

NPI assigned

Nov 5, 2024

Last updated

Nov 5, 2024By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1730764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1922821271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 JESS NEELY DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372122039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 JESS NEELY DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372122039",
            "telephone_number": "615-689-9228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "MAKENZIE",
        "credential": "AT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-05",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TN",
            "license": "3198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darrel Lynn Ellis, MD
• Jessica Marie Ellis, CPNP-AC
• Justin Grant Ellis, PHARMD
• Kayla Ellis, RN
• Kelsey Maduell Ellis, FNP-C
• Marita Walton Ellis
• Patricia Diane Ellis, R.N.
• Shelley Ellis, MD
• Suzanne Ellis, LSW
• Tonya Amari Ellis

• Athletic Trainer in Nashville, TN
• Providers in Nashville, TN by specialty
• Athletic Trainer in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.