Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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January Ellis-Bansode, DIS, MPH

Individual provider Community Health Worker · NPI 1073930897

January Ellis-Bansode, DIS, MPH is a Community Health Worker in Knoxville, Tennessee. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
MPH — Master of Public Health
A graduate degree in population health.

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Practice location Address checks out

140 Dameron Ave
Knoxville, TN 37917-6413
Phone: (865) 215-5822
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X

Record details

NPI number1073930897
Entity typeIndividual (Type 1)
GenderFemale
Credentials DIS , MPH
Sole proprietorNo
NPI enumeratedMarch 19, 2014
Last updated in NPPESJanuary 31, 2018

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