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ELLIS GRACE DEJARDIN
NPI 1134009111
Student in an Organized Health Care Education/Training Program in Washington, DC

Active since September 02, 2025
2013 H ST NW FL 4, WASHINGTON, DC 20006(202) 994-9072 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ellis Grace Dejardin NPPES

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

ELLIS GRACE DEJARDIN (NPI 1134009111) is an individual student in an organized health care education/training program in Washington, District Of Columbia and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1134009111
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameELLIS GRACE DEJARDIN
Location Address2013 H ST NW FL 4Washington, DC 20006-4201
Mailing Address1307 S Carolina Ave Se Apt AWashington, DC 20003-2383
Phone(202) 994-9072
Sole ProprietorNo
Enumeration DateSeptember 2, 2025
NPPES CertifiedSeptember 2, 2025
✔ NPI 1134009111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2013 H ST NW FL 4, Washington, DC 20006
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Other Providers at the Same Location NPPES 4

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

INNA GONCEARENCO
Student in an Organized Health Care Education/Training Program
2013 H ST NW FL 4
WASHINGTON, DC 20006
District of Columbia (202) 994-9072
TAISHA BLANC
Student in an Organized Health Care Education/Training Program
2013 H ST NW FL 4
WASHINGTON, DC 20006
District of Columbia (202) 994-9072
MR. JUSTINO JOEL FLORES
Student in an Organized Health Care Education/Training Program
2013 H ST NW FL 4
WASHINGTON, DC 20006
District of Columbia (202) 994-9072
SARAH ROSE CIMINI
Student in an Organized Health Care Education/Training Program
2013 H ST NW FL 4
WASHINGTON, DC 20006
District of Columbia (858) 413-5097

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 Ellis Dejardin's NPI number?

The NPI number for Ellis Dejardin is 1134009111. It was assigned to this individual provider in the NPPES registry on September 2, 2025.

Where is Ellis Dejardin located?

Ellis Dejardin practices at 2013 H St NW Fl 4, Washington, DC 20006. The listed phone number is (202) 994-9072.

What is Ellis Dejardin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Ellis Dejardin was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.