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MRS. STACI DAWN ELLIS LMT
NPI 1639519044
Specialist in Boise, ID

Active since June 29, 2013
1529 BELMONT ST, BOISE, ID 83725(208) 426-1459 Get Directions Write a Review

NPPES record last updated: June 29, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Staci Dawn Ellis Lmt NPPES

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

MRS. STACI DAWN ELLIS LMT (NPI 1639519044) is an individual specialist in Boise, Idaho, licensed in Idaho (MASG-217) and active in the NPI registry since June 2013.

NPPES Registry Identity

NPI1639519044
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMRS. STACI DAWN ELLISCredential: LMT
Location Address1529 BELMONT STBoise, ID 83725-0001
Mailing Address3612 N Summercrest PlMeridian, ID 83646-7780 · (208) 321-4701
Phone(208) 426-1459
Sole ProprietorYes
Enumeration DateJune 29, 2013
✔ NPI 1639519044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in ID · MASG-217
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1529 BELMONT ST, Boise, ID 83725
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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.

TANNA SUSAN WILLIS LCMT
Massage Therapist
1529 BELMONT ST
BOISE, ID 83725
Ada County (208) 426-1459
BOISE STATE HEALTH CENTER
Clinic/Center (Student Health)
1529 BELMONT ST
BOISE, ID 83725
Ada County (208) 426-1459
MRS. MAYA SCHIMPF NP-C
Nurse Practitioner (Family)
1529 BELMONT ST
BOISE, ID 83725
Ada County (208) 426-1459
B GARY BELL A.S., CMT
Clinic/Center (Student Health)
1529 BELMONT ST
BOISE, ID 83725
Ada County (208) 426-1459
MATT NIECE LPC
Counselor (Mental Health)
1529 BELMONT ST
BOISE, ID 83725
Ada County (208) 426-1459
MS. NATALIE G LINHART LPC, NCC
Counselor (Professional)
1529 BELMONT ST
BOISE, ID 83725
Ada County (208) 426-1459

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 Staci Ellis's NPI number?

The NPI number for Staci Ellis is 1639519044. It was assigned to this individual provider in the NPPES registry on June 29, 2013.

Where is Staci Ellis located?

Staci Ellis practices at 1529 Belmont St, Boise, ID 83725. The listed phone number is (208) 426-1459.

What is Staci Ellis's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Staci Ellis was last updated on June 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.