LOLA ELLIOTT (NPI# 1447750948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447750948 |
| Entity Type | Individual |
| Full Name | LOLA ELLIOTT |
| Credential | RN |
| Practice Address |
129 Berea 7 Jefferson TX 75657-6529 |
| Practice Telephone | 9037383020 |
| Mailing Telephone | 9037383020 |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2018-02-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
432987 | TX | Nursing Service Providers |
| Street Address |
129 BEREA 7 |
| City | JEFFERSON |
| State | TX |
| Zip Code | 75657-6529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780131995 | Kimberly George | Case Manager/Care Coordinator | 261 Ma County Road 3430, Jefferson, TX 75657 | 2016-09-06 |
| 1124116561 | The Med Shop | Durable Medical Equipment & Medical Supplies | 110 N . Walnut, Jefferson, TX 75657 | 2006-10-11 |
| 1487644068 | Denise Sepulvado Norris | Occupational Therapist | 1404 Marion County Road 3509, Jefferson, TX 75657 | 2005-10-25 |
| 1700870185 | Robin Lynne Gale | Nurse Practitioner | 219 N Polk St, Jefferson, TX 75657 | 2005-08-31 |
| 1700072477 | James Leo Carroll | Physical Therapy Assistant | 339 Tangiers, Jefferson, TX 75657-0598 | 2007-09-17 |
| 1952397739 | Pine Hill Nursing and Rehabilitation Lp | Skilled Nursing Facility | 1307 Martin Luther King Dr, Jefferson, TX 75657-1009 | 2005-09-27 |
| 1124495486 | Fannin County Hospital Authority | Skilled Nursing Facility | 1307 Martin Luther King Dr, Jefferson, TX 75657-1009 | 2015-08-21 |
| 1598910291 | Jefferson I Enterprises, LLC | Skilled Nursing Facility | 1307 Martin Luther King Dr, Jefferson, TX 75657-1009 | 2008-11-21 |
| 1558404293 | Jefferson Isd | Local Education Agency (LEA) | 1600 Martin Luther King Dr, Jefferson, TX 75657-1061 | 2007-02-14 |
| 1730352667 | Demetria Rena Parker | Nurse's Aide | 506 E Harrison St, Jefferson, TX 75657-1106 | 2008-04-11 |
| Find all providers in zip 75657 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003328477 | Karina Gosdeck | Registered Nurse | N5595 Popp Rd, Jefferson, WI 53549-9647 | 2017-10-25 |
| 1134665268 | Pamela Jean Newcomb | Registered Nurse | N3197 County Rd N, Jefferson, WI 53549-9734 | 2017-01-12 |
| 1275883373 | Amanda Fay Derosa | Registered Nurse | 134 W Satin St, Jefferson, OH 44047-1339 | 2012-09-16 |
| 1073716783 | Loretta L Lingo | Registered Nurse | 1863 Forman Rd, Jefferson, OH 44047-9713 | 2007-06-08 |
| 1659599181 | Karen L. Dickson | Registered Nurse | 32 E Pine St, Jefferson, OH 44047-1118 | 2007-04-22 |
| 1336362326 | Mary B Palm | Registered Nurse | 145 S Chestnut St, Jefferson, OH 44047-1312 | 2007-04-10 |
| 1720119571 | Marsha Ann Hunter | Registered Nurse | 157 W Jefferson St, Jefferson, OH 44047-1047 | 2007-03-07 |
| 1447216551 | Diane Mary Voelker | Registered Nurse | 224 Connelly D R, Jefferson, WI 53549 | 2006-04-26 |
| 1063477065 | Cynthia Lynn Miller | Registered Nurse | W4949 Streim Lane, Jefferson, WI 53549 | 2006-04-20 |
| 1821639626 | Tequilla Monique Ford | Registered Nurse | 120 N Walnut St, Jefferson, TX 75657-1934 | 2019-10-02 |
| Find all providers in JEFFERSON | ||||
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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.