KANISHA ELLIS NP
NPI 1083361570
Nurse Practitioner - Family in Hendersonville, TN

Active since March 04, 2022
1010 GLENBROOK WAY, HENDERSONVILLE, TN 37075(615) 476-2950 Get Directions Write a Review

NPPES record last updated: March 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 9, 2022, Mar 4, 2022 (2 updates tracked since 2022).

About Kanisha Ellis Np NPPES

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

KANISHA ELLIS NP (NPI 1083361570) is an individual family provider in Hendersonville, Tennessee, licensed in Tennessee (APN0000029777) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1083361570
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKANISHA ELLISCredential: NP
Location Address1010 GLENBROOK WAYHendersonville, TN 37075-1230
Mailing Address2620 Elm Hill PikeNashville, TN 37214-3108 · (615) 425-4200
Sole ProprietorNo
Enumeration DateMarch 4, 2022
Last NPPES UpdateMarch 9, 20222 updates tracked since enumeration
NPPES CertifiedMarch 9, 2022
NPI 1083361570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TN · APN0000029777
1010 GLENBROOK WAY, Hendersonville, TN 37075

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.

Nurse Practitioner (Family)
1010 GLENBROOK WAY
HENDERSONVILLE, TN 37075
Nurse Practitioner (Family)
1010 GLENBROOK WAY
HENDERSONVILLE, TN 37075
Pharmacist
1010 GLENBROOK WAY
HENDERSONVILLE, TN 37075
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1010 GLENBROOK WAY
HENDERSONVILLE, TN 37075
Pharmacist
1010 GLENBROOK WAY
HENDERSONVILLE, TN 37075
Nurse Practitioner (Family)
1010 GLENBROOK WAY
HENDERSONVILLE, TN 37075
Nurse Practitioner (Family)
1010 GLENBROOK WAY
HENDERSONVILLE, TN 37075
Pharmacy (Community/Retail Pharmacy)
1010 GLENBROOK WAY
HENDERSONVILLE, TN 37075

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 Kanisha Ellis's NPI number?

The NPI number for Kanisha Ellis is 1083361570. It was assigned to this individual provider in the NPPES registry on March 4, 2022.

Where is Kanisha Ellis located?

Kanisha Ellis practices at 1010 Glenbrook Way, Hendersonville, TN 37075. The listed phone number is (615) 476-2950.

What is Kanisha Ellis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kanisha Ellis was last updated on March 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.