CONSTANCE COLETTLE ELLIS
NPI 1104337856
Community Health Worker in Shreveport, LA

Active since October 21, 2017
9245 WALLACE LAKE RD STE A, SHREVEPORT, LA 71106(318) 221-2828 Get Directions Write a Review

NPPES record last updated: May 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 17, 2018, Oct 21, 2017 (2 updates tracked since 2017).

About Constance Colettle Ellis NPPES

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

CONSTANCE COLETTLE ELLIS (NPI 1104337856) is an individual community health worker in Shreveport, Louisiana and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1104337856
Entity TypeIndividualFemale
Primary Taxonomy172V00000X
Provider Legal NameCONSTANCE COLETTLE ELLIS
Location Address9245 WALLACE LAKE RD STE AShreveport, LA 71106
Mailing AddressPo Box 349Stonewall, LA 71078-0349
Sole ProprietorYes
Enumeration DateOctober 21, 2017
Last NPPES UpdateMay 17, 20182 updates tracked since enumeration
NPI 1104337856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCommunity Health WorkerOther Service Providers
Taxonomy Code172V00000X
Definition
Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
9245 WALLACE LAKE RD STE A, Shreveport, LA 71106

Other Providers at the Same Location NPPES 6

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

Case Manager/Care Coordinator
9245 WALLACE LAKE RD STE A
SHREVEPORT, LA 71106
Case Manager/Care Coordinator
9245 WALLACE LAKE RD STE A
SHREVEPORT, LA 71106
Case Manager/Care Coordinator
9245 WALLACE LAKE RD STE A
SHREVEPORT, LA 71106
Case Manager/Care Coordinator
9245 WALLACE LAKE RD STE A
SHREVEPORT, LA 71106
Case Manager/Care Coordinator
9245 WALLACE LAKE RD STE A
SHREVEPORT, LA 71106
Case Manager/Care Coordinator
9245 WALLACE LAKE RD STE A
SHREVEPORT, LA 71106

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 Constance Ellis's NPI number?

The NPI number for Constance Ellis is 1104337856. It was assigned to this individual provider in the NPPES registry on October 21, 2017.

Where is Constance Ellis located?

Constance Ellis practices at 9245 Wallace Lake Rd Ste A, Shreveport, LA 71106. The listed phone number is (318) 221-2828.

What is Constance Ellis's specialty?

The primary specialty registered for this NPI is Community Health Worker with taxonomy code 172V00000X.

When was this NPI record last updated?

The NPPES record for Constance Ellis was last updated on May 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.