1. Home
  2. Directory
  3. New Mexico
  4. Albuquerque
  5. Nurse Practitioner
  6. NPI Profile

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: September 13, 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
Open in Google Maps ↗

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 2 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.