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CHANDRA ELLIS RN
NPI 1811565120
Case Manager/Care Coordinator in Fort Worth, TX

Active since June 14, 2021
716 MUD LAKE TRL, FORT WORTH, TX 76120(682) 564-2588 Get Directions Write a Review

NPPES record last updated: July 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 1, 2021, Jun 16, 2021 (2 updates tracked since 2021).

About Chandra Ellis Rn NPPES

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

CHANDRA ELLIS RN (NPI 1811565120) is an individual case manager/care coordinator provider in Fort Worth, Texas and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1811565120
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameCHANDRA ELLISCredential: RN
Location Address716 MUD LAKE TRLFort Worth, TX 76120-2037
Mailing Address716 Mud Lake TrlFort Worth, TX 76120-2037 · (682) 564-2588
Phone(682) 564-2588
Sole ProprietorYes
Enumeration DateJune 14, 2021
Last NPPES UpdateJuly 1, 20212 updates tracked since enumeration
NPPES CertifiedJuly 1, 2021
✔ NPI 1811565120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Also ListedRegistered NurseTaxonomy 163W00000X · License 644695 (TX)
716 MUD LAKE TRL, Fort Worth, TX 76120
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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 Chandra Ellis's NPI number?

The NPI number for Chandra Ellis is 1811565120. It was assigned to this individual provider in the NPPES registry on June 14, 2021.

Where is Chandra Ellis located?

Chandra Ellis practices at 716 Mud Lake Trl, Fort Worth, TX 76120. The listed phone number is (682) 564-2588.

What is Chandra Ellis's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Chandra Ellis was last updated on July 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.