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KELLEY D ELLIS RNFA, CNOR
NPI 1073622858
Registered Nurse - Medical-Surgical in Fort Worth, TX

Active since August 29, 2006
1900 MISTLETOE BLVD STE 200, FORT WORTH, TX 76104(817) 878-5333(817) 878-5334 Get Directions Write a Review

NPPES record last updated: February 4, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 4, 2019, Apr 16, 2018 (2 updates tracked since 2018).

About Kelley D Ellis Rnfa, Cnor NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLEY D ELLIS RNFA, CNOR (NPI 1073622858) is an individual medical-surgical provider in Fort Worth, Texas, licensed in Texas (551667) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1073622858
Entity TypeIndividualFemale
Primary Taxonomy163WM0705X
Provider Legal NameKELLEY D ELLISCredential: RNFA, CNOR
Location Address1900 MISTLETOE BLVD STE 200Fort Worth, TX 76104-4049
Mailing Address1900 Mistletoe Blvd Ste 200Fort Worth, TX 76104-4049 · (817) 878-5333 · Fax (817) 878-5334
Phone(817) 878-5333
Fax(817) 878-5334
Sole ProprietorNo
Enumeration DateAugust 29, 2006
Last NPPES UpdateFebruary 4, 20192 updates tracked since enumeration
✔ NPI 1073622858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Medical-SurgicalNursing Service Providers
Taxonomy Code163WM0705X
License✔ Licensed in TX · 551667
1900 MISTLETOE BLVD STE 200, Fort Worth, TX 76104
Open in Google Maps ↗

Other Identifiers 3

Other0672032TX · Cigna
Other89N921TX · Bcbs Of Tx
Other7521427TX · Aetna

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. AARON SHANE WASHINGTON PA-C
Physician Assistant (Surgical)
1900 MISTLETOE BLVD STE 200
FORT WORTH, TX 76104
Tarrant County (817) 878-5333
KEVIN TRAN PA-C
Physician Assistant
1900 MISTLETOE BLVD STE 200
FT WORTH, TX 76104
Tarrant County (817) 878-5333
BRENT T ALFORD M.D.
Neurological Surgery
1900 MISTLETOE BLVD STE 200
FORT WORTH, TX 76104
Tarrant County (817) 878-5333
FRANCINE RENEE SPENCER RNFA
Registered Nurse (Registered Nurse First Assistant)
1900 MISTLETOE BLVD STE 200
FORT WORTH, TX 76104
Tarrant County (817) 878-5333
ANTHONY W. LEE MD
Neurological Surgery
1900 MISTLETOE BLVD STE 200
FORT WORTH, TX 76104
Tarrant County (817) 878-5333
THOMAS S ELLIS M.D.
Neurological Surgery
1900 MISTLETOE BLVD STE 200
FORT WORTH, TX 76104
Tarrant County (817) 878-5333
KRISTI MOSLEY NP
Nurse Practitioner (Family)
1900 MISTLETOE BLVD STE 200
FORT WORTH, TX 76104
Tarrant County (817) 878-5333
SAMIR B LAPSIWALA MD
Neurological Surgery
1900 MISTLETOE BLVD STE 200
FORT WORTH, TX 76104
Tarrant County (817) 878-5333

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelley Ellis's NPI number?

The NPI number for Kelley Ellis is 1073622858. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Kelley Ellis located?

Kelley Ellis practices at 1900 Mistletoe Blvd Ste 200, Fort Worth, TX 76104. The listed phone number is (817) 878-5333.

What is Kelley Ellis's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Medical-Surgical, with taxonomy code 163WM0705X.

When was this NPI record last updated?

The NPPES record for Kelley Ellis was last updated on February 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.