Organization
EXCELLIS NUTRITION LLC
Active
Organization
EXCELLIS NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACIE VANESSA ELLIS PHD, RDN, LD (OWNER AND REGISTERED DIETITIAN)
(469) 708-6940
Entity
Organization
Contact information
Practice address
475 E FM 1382 UNIT 2572, CEDAR HILL, TX 75106-5118
(469) 708-6940
Mailing address
PO BOX 2572, CEDAR HILL, TX 75106-2572
(469) 708-6940
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/16/2024
Last updated
01/16/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up