MR. HORACE A ELLIS M.S.N. A. R. N. P. NPI 1457328734

NPI Information

NPI: 1457328734
Provider Name: MR. HORACE A ELLIS, M.S.N., A. R. N. P.
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA

PECOS Registration: Yes

Address:
1695 NW 9TH AVE
MIAMI, FL
ZIP 33136
Phone: (305) 355-7228
Get Directions

MR. Horace A Ellis, M.S.N., A. R. N. P. is a psychiatric/mental health nurse practitioner in Miami, FL with 27 years of experience. MR. Horace A Ellis, M.S.N., A. R. N. P. NPI is 1457328734. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1695 NW 9TH AVE
MIAMI, FL
ZIP 33136-409
Phone: (305) 355-7228
Fax: (305) 355-8091

The NPI 1457328734 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/4/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	2180612	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Y7078Y	MEDICARE UPIN	FLORIDA
2	GROUP # 72293	MEDICARE ID-TYPE UNSPECIFIED		PHT-UM-JMH PROFEE, ER/UCC
3	PROFEE AND GROUP #	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »