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MS. YANIQUE TAVIA ELLIS MD
NPI 1093382939
Pediatrics in Tyler, TX

Active since June 09, 2021
2900 NORTH BROADWAY AVE, TYLER, TX 75702(903) 593-1892 Get Directions Write a Review

NPPES record last updated: December 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 2, 2024, Jun 25, 2024, Mar 15, 2023 and 1 more (4 updates tracked since 2021).

About Ms. Yanique Tavia Ellis Md NPPES

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

MS. YANIQUE TAVIA ELLIS MD (NPI 1093382939) is an individual pediatrics provider in Tyler, Texas, licensed in Texas (V0728) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1093382939
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMS. YANIQUE TAVIA ELLISCredential: MD
Location Address2900 NORTH BROADWAY AVETyler, TX 75702
Mailing Address5805 Thompson PlTyler, TX 75707-5001
Phone(903) 593-1892
Sole ProprietorNo
Enumeration DateJune 9, 2021
Last NPPES UpdateDecember 2, 20244 updates tracked since enumeration
NPPES CertifiedNovember 27, 2024
✔ NPI 1093382939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · V0728
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2900 NORTH BROADWAY AVE, Tyler, TX 75702
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan.Insurance ›

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 Yanique Ellis's NPI number?

The NPI number for Yanique Ellis is 1093382939. It was assigned to this individual provider in the NPPES registry on June 9, 2021.

Where is Yanique Ellis located?

Yanique Ellis practices at 2900 North Broadway Ave, Tyler, TX 75702. The listed phone number is (903) 593-1892.

What is Yanique Ellis's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Yanique Ellis accept?

Health plans from Blue Cross and Blue Shield of Texas and CHRISTUS Health Plan list Yanique Ellis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Yanique Ellis was last updated on December 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.