SETA LAMALLARI ELLIS DO
NPI 1912845678
Student in an Organized Health Care Education/Training Program in Oak Ridge, TN

Q: What is Seta Ellis's NPI number?

The NPI number for Seta Ellis is 1912845678. It was assigned to this individual provider in the NPPES registry on March 24, 2026.

Q: What is Seta Ellis's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Seta Ellis was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 24, 2026PECOS Enrolled

200 NEW YORK AVE STE 150, OAK RIDGE, TN 37830(865) 835-5850 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Seta Lamallari Ellis Do NPPES

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

SETA LAMALLARI ELLIS DO (NPI 1912845678) is an individual student in an organized health care education/training program in Oak Ridge, Tennessee and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912845678

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSETA LAMALLARI ELLISCredential: DO

Location Address200 NEW YORK AVE STE 150Oak Ridge, TN 37830-5227

Mailing Address200 New York Ave Ste 150Oak Ridge, TN 37830-5227

Phone(865) 835-5850

Sole ProprietorNo

Enumeration DateMarch 24, 2026

NPPES CertifiedMarch 24, 2026

✔ NPI 1912845678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

200 NEW YORK AVE STE 150, Oak Ridge, TN 37830

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Seta Lamallari Ellis Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

AREZOU T REZAEIAN MD

Student in an Organized Health Care Education/Training Program