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COLEEN ANN ELLIS MD
NPI 1366416190
Family Medicine in Palmetto, FL

Active since February 16, 2006
1120 10TH ST E, PALMETTO, FL 34221(941) 847-7903(941) 847-7919 Get Directions Write a Review

NPPES record last updated: August 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 16, 2021, Sep 2, 2020, May 20, 2020 and 3 more (6 updates tracked since 2016).

About Coleen Ann Ellis Md NPPES

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

COLEEN ANN ELLIS MD (NPI 1366416190) is an individual family medicine provider in Palmetto, Florida, licensed in Florida (ME87898) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1366416190
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCOLEEN ANN ELLISCredential: MD
Location Address1120 10TH ST EPalmetto, FL 34221-4134
Mailing Address1120 10th St EPalmetto, FL 34221-4134 · (941) 847-7903 · Fax (941) 847-7919
Phone(941) 847-7903
Fax(941) 847-7919
Sole ProprietorNo
Enumeration DateFebruary 16, 2006
Last NPPES UpdateAugust 16, 20216 updates tracked since enumeration
NPPES CertifiedAugust 16, 2021
✔ NPI 1366416190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME87898
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X · License ME87898 (FL)
1120 10TH ST E, Palmetto, FL 34221
Open in Google Maps ↗

Other Identifiers 1

Medicaid271958400FL

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.

JASON R HAGERTY NP-C
Nurse Practitioner (Family)
1120 10TH ST E
PALMETTO, FL 34221
Manatee County (941) 847-7903
DR. SUZANNE SANDRA JOHNSON D.O.
Family Medicine
1120 10TH ST E
PALMETTO, FL 34221
Manatee County (941) 847-7903
DR. DAVID P DIVITA MD
Family Medicine
1120 10TH ST E
PALMETTO, FL 34221
Manatee County (941) 847-7903
AMANDA MICHELLE CYRUS MSN, RN, FNP-BC
Nurse Practitioner (Family)
1120 10TH ST E
PALMETTO, FL 34221
Manatee County (941) 847-7903
MARILIAN A. CANALS RIVERA MD
Family Medicine
1120 10TH ST E
PALMETTO, FL 34221
Manatee County (941) 847-7903
JOSEPHINE RICHARDSON POLCH ARNP
Nurse Practitioner
1120 10TH ST E
PALMETTO, FL 34221
Manatee County (941) 847-7903

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 Coleen Ellis's NPI number?

The NPI number for Coleen Ellis is 1366416190. It was assigned to this individual provider in the NPPES registry on February 16, 2006.

Where is Coleen Ellis located?

Coleen Ellis practices at 1120 10th St E, Palmetto, FL 34221. The listed phone number is (941) 847-7903.

What is Coleen Ellis's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Coleen Ellis was last updated on August 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.