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K ELLIS PA
NPI 1124885348
Nurse Practitioner - Psychiatric/Mental Health in Albuquerque, NM

Active since March 04, 2024
1209 MOUNTAIN ROAD PL NE # 4953, ALBUQUERQUE, NM 87110(904) 252-3606(505) 546-4325 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 10, 2024, Aug 21, 2024, Mar 4, 2024 (3 updates tracked since 2024).

About K Ellis Pa NPPES

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

K ELLIS PA (NPI 1124885348) is a healthcare organization registered as a psychiatric/mental health in Albuquerque, New Mexico and active in the NPI registry since March 2024. The organization lists Keisha Ellis, Authorized Official/owner, as its authorized official.

NPPES Registry Identity

NPI1124885348
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameK ELLIS PA
Location Address1209 MOUNTAIN ROAD PL NE # 4953Albuquerque, NM 87110-7845
Mailing Address1209 Mountain Road Pl Ne # 4953Albuquerque, NM 87110-7845 · (904) 252-3606
Phone(904) 252-3606
Fax(505) 546-4325
Organization SubpartNo
Authorized OfficialKeisha EllisAuthorized Official/owner · (904) 252-3606
Enumeration DateMarch 4, 2024
Last NPPES UpdateSeptember 10, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2024
✔ NPI 1124885348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedClinic/CenterTaxonomy 261Q00000X
1209 MOUNTAIN ROAD PL NE # 4953, Albuquerque, NM 87110
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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 K Ellis PA's NPI number?

The NPI number for K Ellis PA is 1124885348. It was assigned to this organization in the NPPES registry on March 4, 2024.

Where is K Ellis PA located?

K Ellis PA is located at 1209 Mountain Road Pl NE # 4953, Albuquerque, NM 87110. The listed phone number is (904) 252-3606.

What is K Ellis PA's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for K Ellis PA was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.