DR. KIMBERLY ELLIS D.O.
NPI 1891703476
Family Medicine in Port Saint Lucie, FL

Q: What is Kimberly Ellis's NPI number?

The NPI number for Kimberly Ellis is 1891703476. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Q: What is Kimberly Ellis's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Ellis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since August 03, 2006

8423 S US HIGHWAY 1, PORT SAINT LUCIE, FL 34952(772) 287-5393(772) 878-1559 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Kimberly Ellis D.o. NPPES

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

DR. KIMBERLY ELLIS D.O. (NPI 1891703476) is an individual family medicine provider in Port Saint Lucie, Florida, licensed in Florida (OS6560) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1891703476

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. KIMBERLY ELLISCredential: D.O.

Location Address8423 S US HIGHWAY 1Port Saint Lucie, FL 34952-3358

Mailing Address8423 S Us Highway 1Port Saint Lucie, FL 34952-3358 · (772) 287-5393 · Fax (772) 878-1559

Phone(772) 287-5393

Fax(772) 878-1559

Sole ProprietorYes

Enumeration DateAugust 3, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1891703476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · OS6560

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

8423 S US HIGHWAY 1, Port Saint Lucie, FL 34952

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Other Identifiers 1

Medicare UPINF70113FL

Other Providers at the Same Location NPPES

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

HEALTH & WELLNESS CENTER OF PORT ST. LUCIE

Family Medicine

8423 S US HIGHWAY 1
PORT SAINT LUCIE, FL 34952

St. Lucie County (772) 337-3141

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 Kimberly Ellis's NPI number?

The NPI number for Kimberly Ellis is 1891703476. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Where is Kimberly Ellis located?

Kimberly Ellis practices at 8423 S Us Highway 1, Port Saint Lucie, FL 34952. The listed phone number is (772) 287-5393.

What is Kimberly Ellis's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Kimberly Ellis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.