IndividualActive
Yanique Ellis, MD
NPI 1093382939 · Pediatrics Physician · Tyler, TX
Yanique Ellis, MD is a Pediatrics Physician provider in Tyler, TX (NPI 1093382939).
Provider details
- NPI number
- 1093382939
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- V0728 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% 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
2900 North Broadway Ave
Tyler, TX 75702
Phone: (903) 593-1892
Street-level locationGet directions
Mailing address
5805 Thompson Pl
Tyler, TX 75707-5001
Registry dates
- Enumerated
- 2021-06-09
- Last updated
- 2024-12-02
- Certified
- 2024-11-27
Frequently asked questions
- What is Yanique Ellis's NPI number?
- Yanique Ellis's National Provider Identifier (NPI) is 1093382939, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Yanique Ellis's specialty?
- Yanique Ellis is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Yanique Ellis located?
- Yanique Ellis's practice location on file with NPPES is 2900 North Broadway Ave, Tyler, TX 75702.
- What is Yanique Ellis's phone number?
- The practice phone number listed in the NPPES registry for Yanique Ellis is (903) 593-1892.
- Is Yanique Ellis's NPI active?
- Yes — Yanique Ellis's NPI (1093382939) is active in the NPPES registry as of the last update on 2024-12-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.