Elisha McCall-Preston

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

630820 Issued in TX

Practice address

3150 Clarksville St
Suite 100
Paris, TX 75460-8076

Phone

(903) 782-9206

Fax

(903) 783-7367

NPI assigned

Jan 18, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Elisha McCall Former name

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Interoperability endpoints

• Direct secure messaging: elisha.preston@wchcl.eclinicaldirectplus.com

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.

• Special Health Resources for Texas, Incorporated

  • Federally Qualified Health Center (FQHC)
  • Longview, TX
  • NPI 1043209919
  NPD (past)
• Special Health Resources for Texas, Incorporated

  • Federally Qualified Health Center (FQHC)
  • Paris, TX
  • NPI 1346791258
  NPD (past)
• Special Health Resources for Texas, Incorporated

  • Federally Qualified Health Center (FQHC)
  • Tyler, TX
  • NPI 1609298132
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298419200000",
    "number": "1043496110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 CLARKSVILLE ST",
            "address_2": "SUITE 100",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754608076",
            "telephone_number": "903-782-9206",
            "fax_number": "903-783-7367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 CLARKSVILLE ST",
            "address_2": "SUITE 100",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754608076",
            "telephone_number": "903-782-9206",
            "fax_number": "903-783-7367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALL-PRESTON",
        "first_name": "ELISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-18",
        "last_updated": "2011-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "630820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISHA",
            "last_name": "MCCALL",
            "credential": "PNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mays Home Health of Paris TX, LLC
• Mays Home Health TX, LLC
• Mays Hospice TX LLC
• Mays Plus, Inc
• Mindy McBride, LCSW
• Jack McCallion, MD
• Jakob McClain, PT
• Jessica McClain, LCSW
• Michele Ann McDermott, RPH
• Ena D McDonald, LVN

• All providers in Paris, TX
• Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.