MELODY ELLIS
NPI 1780532457
Nurse Practitioner - Psychiatric/Mental Health in Kingsport, TN

Active since March 18, 2026
1880 N EASTMAN RD STE 130, KINGSPORT, TN 37664(423) 915-6765 Get Directions Write a Review

NPPES record last updated: March 18, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Melody Ellis NPPES

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

MELODY ELLIS (NPI 1780532457) is an individual psychiatric/mental health provider in Kingsport, Tennessee, licensed in Tennessee (41531) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1780532457
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMELODY ELLIS
Location Address1880 N EASTMAN RD STE 130Kingsport, TN 37664-2385
Mailing Address1220 Riverbend Dr Apt 107Kingsport, TN 37664-4094
Sole ProprietorYes
Enumeration DateMarch 18, 2026
NPPES CertifiedMarch 18, 2026
NPI 1780532457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in TN · 41531
1880 N EASTMAN RD STE 130, Kingsport, TN 37664

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Clinic/Center (Adult Mental Health)
1880 N EASTMAN RD STE 130
KINGSPORT, TN 37664

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 Melody Ellis's NPI number?

The NPI number for Melody Ellis is 1780532457. It was assigned to this individual provider in the NPPES registry on March 18, 2026.

Where is Melody Ellis located?

Melody Ellis practices at 1880 N Eastman Rd Ste 130, Kingsport, TN 37664. The listed phone number is (423) 915-6765.

What is Melody Ellis'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 Melody Ellis was last updated on March 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.