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January Ellis-Bansode, DIS, MPH
NPI 1073930897 · Community Health Worker · Knoxville, TN
January Ellis-Bansode, DIS, MPH is a Community Health Worker provider in Knoxville, TN (NPI 1073930897).
Provider details
- NPI number
- 1073930897
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Credential
- DIS, MPH
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
140 Dameron Ave
Knoxville, TN 37917-6413
Phone: (865) 215-5822
Street-level locationGet directions
Mailing address
201 W Springdale Ave
Knoxville, TN 37917-5158
Registry dates
- Enumerated
- 2014-03-19
- Last updated
- 2018-01-31
Frequently asked questions
- What is January Ellis-Bansode's NPI number?
- January Ellis-Bansode's National Provider Identifier (NPI) is 1073930897, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is January Ellis-Bansode's specialty?
- January Ellis-Bansode is listed in the NPPES registry with a primary specialty of Community Health Worker (Other Service Providers).
- Where is January Ellis-Bansode located?
- January Ellis-Bansode's practice location on file with NPPES is 140 Dameron Ave, Knoxville, TN 37917-6413.
- What is January Ellis-Bansode's phone number?
- The practice phone number listed in the NPPES registry for January Ellis-Bansode is (865) 215-5822.
- Is January Ellis-Bansode's NPI active?
- Yes — January Ellis-Bansode's NPI (1073930897) is active in the NPPES registry as of the last update on 2018-01-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.