Active NPI
Nancy J Elliott, R.N.
- Registered Nurse
- Brooklyn Park, MD
National Provider Identifier
1003024803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R131032
- Practice address
- 300 Hammonds LN
Brooklyn Park, MD 21225-3653 - Phone
- (410) 222-6621
- NPI assigned
- May 18, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R131032 | MD | Primary |
Addresses
Primary practice location
300 Hammonds LN
Brooklyn Park, MD 21225-3653
Mailing address
923 Pierpoint Dr
Pasadena, MD 21122-1732
Phone (410) 437-2541
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R131032 | MD | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anne Arundel County Department of Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Public Health or Welfare Agency
- Baltimore, MD
- NPI 1154532901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003024803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "923 PIERPOINT DR",
"city": "PASADENA",
"state": "MD",
"postal_code": "211221732",
"telephone_number": "410-437-2541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 HAMMONDS LN",
"city": "BROOKLYN PARK",
"state": "MD",
"postal_code": "212253653",
"telephone_number": "410-222-6621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIOTT",
"first_name": "NANCY",
"middle_name": "J",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MD",
"license": "R131032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.