Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Jody Lee Ellison

Individual provider Community Health Worker · NPI 1205640679

Mr. Jody Lee Ellison is a Community Health Worker in Bellevue, Nebraska. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
3

Practice location Address checks out

5129 Galloway St
Bellevue, NE 68157-2422
Phone: (402) 201-0868
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X
Community Health Worker Taxonomy 172V00000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Taxonomy 320900000X

Record details

NPI number1205640679
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 5, 2025
Last updated in NPPESFebruary 5, 2025
Certification dateFebruary 5, 2025

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