STACEY ELLIS
NPI 1669438073
Specialist/Technologist - Athletic Trainer in Manassas, VA
About Stacey Ellis NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACEY ELLIS (NPI 1669438073) is an individual athletic trainer provider in Manassas, Virginia, licensed in Virginia (0126000571) and active in the NPI registry since April 2006.
NPPES Registry Identity
Specialties & Licenses
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 Stacey Ellis's NPI number?
The NPI number for Stacey Ellis is 1669438073. It was assigned to this individual provider in the NPPES registry on April 25, 2006.
Where is Stacey Ellis located?
Stacey Ellis practices at 9005 Tudor Ln, Manassas, VA 20110. The listed phone number is (703) 257-8500.
What is Stacey Ellis's specialty?
The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.
When was this NPI record last updated?
The NPPES record for Stacey Ellis was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 days 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.