ELEVATED OUTCOMES, INC (NPI# 1205494341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205494341 |
| Entity Type | Organization |
| Organization Name | ELEVATED OUTCOMES, INC |
| Practice Address |
3000 S Randolph St Apt 308 Arlington VA 22206-2252 |
| Practice Telephone | 3018730599 |
| Mailing Telephone | 3018730599 |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2019-06-04 |
| Authorized Official Name | MS. KIMBERLEE AMBACH (OWNER) |
| Authorized Official Telephone | 3018730599 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| N | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers | ||
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers | ||
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
3000 S RANDOLPH ST APT 308 |
| City | ARLINGTON |
| State | VA |
| Zip Code | 22206-2252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093354052 | Kayla Criswell | Behavior Technician | 4510 31st Street, Apt 204, Arlington, VA 22206 | 2019-12-22 |
| 1336650852 | Roman De Los Santos | Dentist | Blvd Cucacpah #212, Jijuana, BAJA CALIFORNIA 22206 | 2017-10-24 |
| 1104337179 | Chandra Jeanne Burnside | Registered Nurse | 4654a 36th Street South, Arlington, VA 22206 | 2017-10-18 |
| 1861912784 | Bonnie Schultz | Social Worker | 4537a 28th Rd S., Arlington, VA 22206 | 2017-06-21 |
| 1477093201 | Roxana Estrada | Dentist | 23678-b Luisa Martinez, Mariano Matamoros, Tijuana, BAJA CALIFORNIA 22206 | 2017-02-27 |
| 1073063095 | Alfredo Soto Navarrete | General Acute Care Hospital | Hermenegildo Galeana 22412, Ejido Francisco Villa, Tijuana, BAJA CALIFORNIA 22206 | 2016-10-13 |
| 1245681238 | Wendolyne Nashelly Corona Leal | Dentist | Ave Isla Tiburon 3662, Lamas Del Matamoros, Tijuana, BAJA CALIFORNIA 22206 | 2016-06-30 |
| 1659784304 | Christine Brown Wright | Audiologist | 4714 30th Street South, Arlington, VA 22206 | 2014-06-10 |
| 1538583653 | Fernellas Quality Care | Nutritionist | 2300 24th Road South #624, Arlington, VA 22206 | 2014-02-10 |
| 1851637532 | Umera Abdullah Thebo | Internal Medicine | 2270 S Garfield Street, Unit #4, Arlington, VA 22206 | 2012-12-27 |
| Find all providers in zip 22206 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538681788 | Andrea Paulette Redic | Specialist | 2141 N Collins St Ste 503, Arlington, TX 76011-2812 | 2017-07-10 |
| 1649705112 | Gregory Morgan Rose | Specialist | 2025 Randy Snow Rd Apt 227, Arlington, TX 76011-8921 | 2017-04-21 |
| 1407381023 | Rest Easy Hair Clinic | Specialist | 3710 168th Street N.e. B101, Arlington, WA 98223 | 2017-04-21 |
| 1497201164 | Mayrena Isamar Hernandez | Specialist | 7201 Lake Jackson Dr, Arlington, TX 76002-4070 | 2016-08-31 |
| 1396192126 | Paul Aaron Petty | Specialist | 1715 N George Mason Dr Ste 503, Arlington, VA 22205-3669 | 2016-05-23 |
| 1174990535 | Angenique Miles-lewis | Specialist | 3901 W Arkansas Ln Ste 116, Arlington, TX 76016-1400 | 2015-09-01 |
| 1831575778 | Rais Ul Ghani | Specialist | 922 Winterwood Ct, Arlington, TX 76017-6139 | 2015-08-03 |
| 1760888598 | Sarah Walsh | Specialist | 1301 S Cleveland St Apt 357, Arlington, VA 22204-4872 | 2014-11-05 |
| 1962806869 | A New Weigh Center Corp | Specialist | 306 E Randol Mill Rd Ste 136, Arlington, TX 76011-5841 | 2014-10-21 |
| 1508274614 | Neurodiagnostic Consultants, L.L.C. | Specialist | 1102 Orchard Drive, Arlington, TX 76012 | 2014-08-01 |
| Find all providers in ARLINGTON | ||||
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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.