KATHRYN B ELLIOTT (NPI# 1023109089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023109089 |
Entity Type | Individual |
Full Name | KATHRYN B ELLIOTT |
Credential | WHNP |
Practice Address |
551 Azalea Dr Oxford MS 38655-7900 |
Practice Telephone | 6622340332 |
Practice Fax Number | 6622342891 |
Mailing Telephone | 6622340332 |
Mailing Fax Number | 6622342891 |
Enumeration Date | 2006-09-27 |
Last Update Date | 2007-07-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
R848503 | MS | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 123149 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528392495 | Kathryn Jane Elliott | Neuromusculoskeletal Medicine & OMM | One Gustave L. Levy Place, Box 1052, Mount Sinai Medical Center, New York City, NY 10029-6574 | 2009-09-25 |
1780284133 | Kathryn Tatum Elliott | Pharmacist | 2545 E Walnut Ave, Dalton, GA 30721-8799 | 2020-10-26 |
1083151625 | Kathryn Lawrence Elliott | Counselor | 6363 Poplar Ave, Suite 404, Memphis, TN 38119-4831 | 2017-01-20 |
1154872224 | Kathryn Elliott | Mechanotherapist | 220 Lanier Ave E, Fayetteville, GA 30214-1604 | 2016-10-24 |
1356591796 | Kathryn S Elliott I | Registered Nurse | 1460 Tod Ave Nw, Warren, OH 44485-2407 | 2008-09-23 |
1871708370 | Kathryn M. Elliott | Dentist | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2007-05-10 |
1194859686 | Kathryn Elliott | Counselor | 3110 W Pinhook Rd, Suite 101, Lafayette, LA 70508-3453 | 2007-03-15 |
1609903673 | Kathryn A Elliott | Registered Nurse | 280 Exempla Cir, Lafayette, CO 80026-3370 | 2007-02-27 |
1942281365 | Kathryn Schmidt Elliott | Internal Medicine | 1 Boone Rd, Naval Hospital, Code 031, Bremerton, WA 98312-1894 | 2005-11-11 |
Street Address |
551 AZALEA DR |
City | OXFORD |
State | MS |
Zip Code | 38655-7900 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801902309 | Milton D Hobbs | Internal Medicine | 551 Azalea Dr, Oxford, MS 38655-7900 | 2006-08-21 |
1972012847 | Natalie Nelson | Nurse Practitioner | 551 Azalea Dr, Oxford, MS 38655-7900 | 2017-09-23 |
1477088409 | Ima At Home LLC | Internal Medicine | 551 Azalea Dr, Oxford, MS 38655-7900 | 2017-04-27 |
1881002996 | Ima Medical Home Team LLC | Internal Medicine | 551 Azalea Dr, Oxford, MS 38655-7900 | 2014-08-01 |
1275827958 | Amy Dempsey Tidwell | Nurse Practitioner | 551 Azalea Dr, Suite 102, Oxford, MS 38655-7900 | 2011-05-31 |
1043462195 | Internal Medicine Associates | Dietitian, Registered | 551 Azalea Dr, Oxford, MS 38655-7900 | 2008-10-21 |
1609036698 | Stephanie G Mullins | Nurse Practitioner | 551 Azalea Dr, Oxford, MS 38655-7900 | 2008-06-12 |
1386843407 | Margaret B Embry | Nurse Practitioner | 551 Azalea Dr, Oxford, MS 38655-7900 | 2007-07-18 |
1609923069 | Internal Medicine Associates of Oxford | Internal Medicine | 551 Azalea Dr, Oxford, MS 38655-7900 | 2007-01-05 |
1568519957 | Oxford Cardiovascular Physicians, Pa | Internal Medicine | 551 Azalea Dr, Oxford, MS 38655-7900 | 2007-01-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619585809 | Oxford Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 616 Commerce Parkway, Oxford, MS 38655 | 2020-07-14 |
1760044465 | Lindsay Low Beauchamp | Speech-Language Pathologist | 169 Ms-6 #102, Oxford, MS 38655 | 2019-07-02 |
1861058075 | Tomiko D Mackey | Social Worker | 100 Carriage Cove, Oxford, MS 38655 | 2019-05-13 |
1174090039 | Derionne Brooks | Specialist/Technologist | 972 Hathorn Road, University, MS 38655 | 2018-10-30 |
1497236327 | Providence Companion Care | Nurse's Aide | 317 Heritage Dr Ste 3b, Oxford, MS 38655 | 2018-08-28 |
1255817292 | Marcela Caroline Weber | Counselor | 152 Mississippi 7 South, Oxford, MS 38655 | 2018-07-12 |
1649775123 | Oxford Outpatient Center, LLC | Clinic/Center | 611 Commerce Pkwy, Oxford, MS 38655 | 2018-03-27 |
1073039962 | Sharon Yvette Holloway | Social Worker | 152 Hwy and South, Oxford, Ms 38655, Oxford, MS 38655 | 2017-08-22 |
1447774682 | Courtney M Purvis | Physical Therapist | 300 Enterprise Dr Ste B, Oxford, MS 38655 | 2017-07-31 |
1649716580 | Taylor Lynn Smith | Counselor | 152 Ms-7, Oxford, MS 38655 | 2017-01-17 |
Find all providers in zip 38655 |
Taxonomy Code | 363LW0102X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Women's Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225009996 | Estena P Bradley | Nurse Practitioner | 1209 Se Industry Dr, Oxford, NC 27565 | 2006-01-30 |
1245283670 | Lisa R Vetter | Nurse Practitioner | 5225 Morning Sun Rd, Oxford, OH 45056-8929 | 2006-05-18 |
1962470344 | Sara Louise Skolnick | Nurse Practitioner | 421 S Campus Ave, Oxford, OH 45056-2487 | 2006-03-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972120665 | Chelsea Lynne Mcgee Walley | Nurse Practitioner | 1880 Bakers Trl, Nesbit, MS 38651-6042 | 2020-06-29 |
1225675952 | Victoria Delores Brown | Nurse Practitioner | 5155 Keele St Apt 22d, Jackson, MS 39206-4331 | 2019-12-02 |
1497280770 | Jessica Wilder | Nurse Practitioner | 128 Cattail Ln, Ocean Springs, MS 39564-3863 | 2017-04-25 |
1609321702 | Ashley Floyd | Nurse Practitioner | 1203 Avenue B Ste 300, Ellisville, MS 39437-2080 | 2016-08-18 |
1033571054 | Debra Gail Gill | Nurse Practitioner | 4892 Briarton Dr, Southaven, MS 38672-9571 | 2016-03-29 |
1346652377 | Rachel Nichole Ford | Nurse Practitioner | 5963 I 55 N, Jackson, MS 39213-9722 | 2014-05-26 |
1831485895 | Anita Sharyl Clinton Donegan | Nurse Practitioner | 1012 Big Lane Dr, Brookhaven, MS 39601-2331 | 2011-06-28 |
1285861039 | Katherine Young | Nurse Practitioner | 1212 Northpark Ln Ne, Brookhaven, MS 39601 | 2009-06-19 |
1295936839 | Susan Turiano Crump | Nurse Practitioner | 111 Depot Dr # A, Madison, MS 39110-9395 | 2007-05-30 |
1760601967 | Kimberly Lynne Schlagel | Nurse Practitioner | 1200 N State St Ste 430, Jackson, MS 39202-2027 | 2007-04-25 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.