MR. SCHUYLER BLAKE ELLIS PMHNP-BC NPI 1538709738

NPI Information

NPI: 1538709738
Provider Name: MR. SCHUYLER BLAKE ELLIS, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: PRECISION MENTAL PERFORMANCE LLC

PECOS Registration: Yes

Address:
5512 NE 109TH CT STE I
VANCOUVER, WA
ZIP 98662
Phone: (360) 200-5273
Get Directions

MR. Schuyler Blake Ellis, PMHNP-BC is a psychiatric/mental health nurse practitioner in Vancouver, WA with 5 years of experience. MR. Schuyler Blake Ellis, PMHNP-BC NPI is 1538709738. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Graduation Year:2019

The provider's business location address is:

5512 NE 109TH CT STE I
VANCOUVER, WA
ZIP 98662-175
Phone: (360) 200-5273
Fax: (833) 593-8274

The NPI 1538709738 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 1/15/2020 and was last updated on 6/15/2020.

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	163WP0808X	Registered Nurse	Psychiatric/Mental Health	RN61052586	WASHINGTON	No
2	163WP0808X	Registered Nurse	Psychiatric/Mental Health	202001267RN	OREGON	No
3	163WP0808X	Registered Nurse	Psychiatric/Mental Health	869222	TEXAS	No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP61052588	WASHINGTON	No
5	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP144884	TEXAS	No
6	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	202001770NP-PP	OREGON	Yes

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

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