Amy Dawn Ellis, MS, RD, LDN is a
Dietitian, Registered based in Alamo, New Mexico. Amy Dawn Ellis is licensed to practice in New Mexico (license number LD-0750) and her current practice location is
Highway 169 Mile Marker 29, Alamo, New Mexico. She can be reached at her office (for appointments etc.) via phone at
(575) 854-2642.
NPI number for Amy Dawn Ellis is 1861741241 and her current mailing address is Po Box 5907, Highway 169 Mile Marker 29, Alamo, New Mexico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861741241.
Healthcare Provider's Profile
Full Name | Amy Dawn Ellis |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | Highway 169 Mile Marker 29, Alamo, New Mexico |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1861741241
- Provider Enumeration Date: 08/31/2012
- Last Update Date: 08/31/2012
Medical Identifiers
Medical identifiers for Amy Dawn Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861741241 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | LD-0750 (New Mexico) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amy Dawn Ellis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Amy Dawn Ellis, MS, RD, LDN Po Box 5907, Highway 169 Mile Marker 29, Alamo, NM 87825-5907 Ph: (575) 854-2642 | Amy Dawn Ellis, MS, RD, LDN Highway 169 Mile Marker 29, Alamo, NM 87825-5907 Ph: (575) 854-2642 |
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