MS. SHANICE LATAE ELLIS CNA
NPI 1780934695
Rehabilitation Practitioner in North Las Vegas, NV

Active since September 18, 2012
4024 SMOKEY FOG AVE UNIT 101, NORTH LAS VEGAS, NV 89081(760) 269-2482 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Shanice Latae Ellis Cna NPPES

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

MS. SHANICE LATAE ELLIS CNA (NPI 1780934695) is an individual rehabilitation practitioner in North Las Vegas, Nevada and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1780934695
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameMS. SHANICE LATAE ELLISCredential: CNA
Location Address4024 SMOKEY FOG AVE UNIT 101North Las Vegas, NV 89081-3842
Mailing Address4024 Smokey Fog Ave Unit 101North Las Vegas, NV 89081-3842 · (760) 269-2482
Sole ProprietorYes
Enumeration DateSeptember 18, 2012
Last NPPES UpdateDecember 18, 2024
NPPES CertifiedDecember 18, 2024
NPI 1780934695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Also ListedTechnician · Personal Care AttendantTaxonomy 3747P1801X
4024 SMOKEY FOG AVE UNIT 101, North Las Vegas, NV 89081

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 Shanice Ellis's NPI number?

The NPI number for Shanice Ellis is 1780934695. It was assigned to this individual provider in the NPPES registry on September 18, 2012.

Where is Shanice Ellis located?

Shanice Ellis practices at 4024 Smokey Fog Ave Unit 101, North Las Vegas, NV 89081. The listed phone number is (760) 269-2482.

What is Shanice Ellis's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Shanice Ellis was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.