Kelly Michelle Ellis

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

CPT14091 Issued in CA

Practice address

4230 Tree Moss PL
Humble, TX 77346-4560

Phone

(281) 454-4497

NPI assigned

Sep 24, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Kelly'S House of Open Arms

  • Children's Substance Abuse Rehabilitation Facility
  • Humble, TX
  • NPI 1548696651
  NPD (past) Authorized official

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

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285286400000",
    "number": "1992014971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 PERRY ST",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775211074",
            "telephone_number": "281-896-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 TREE MOSS PL",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773464560",
            "telephone_number": "281-454-4497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "KELLY",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-24",
        "last_updated": "2010-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "CA",
            "license": "CPT14091",
            "primary": true
        },
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "CA",
            "license": "CERTIFIED BIOTECH",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elite Comfort Houston Services LLC
• Elizabeth Hill Arredondo LPC PLLC
• Owen Bernardo Ellington, M.D, J.D.
• Lauren Nicole Elliott, M.D.
• Ellis Heart Haven Homes
• Linda Pettis Ellis, PHD, NCC, LPC-S
• Stacey Rae Ellison, RPH
• Emar Diagnostic Services
• Emile Mathurin, Jr., M.D., P.a.,
• Empowerment Pathways Counseling & Consulting PLLC

• Phlebotomy Technician in Humble, TX
• Providers in Humble, TX by specialty
• Phlebotomy Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; 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.