Active NPI
Krista Elliott
- School Registered Nurse
- Irvine, CA
National Provider Identifier
1063053486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 704906
- Practice address
- 3387 Barranca Pkwy
Irvine, CA 92606-8272 - Phone
- (949) 936-7516
- NPI assigned
- Oct 7, 2019
- 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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 704906 | CA | Primary |
Addresses
Primary practice location
3387 Barranca Pkwy
Irvine, CA 92606-8272
Mailing address
3387 Barranca Pkwy
Irvine, CA 92606-8272
Phone (949) 936-7516
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kristaelliott@iusd.org | Health Information Exchange (HIE) |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 704906 | CA | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570406400000",
"number": "1063053486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3387 BARRANCA PKWY",
"city": "IRVINE",
"state": "CA",
"postal_code": "926068272",
"telephone_number": "949-936-7516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3387 BARRANCA PKWY",
"city": "IRVINE",
"state": "CA",
"postal_code": "926068272",
"telephone_number": "949-936-7516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIOTT",
"first_name": "KRISTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-07",
"last_updated": "2019-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "CA",
"license": "704906",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kristaelliott@iusd.org",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3387 Barranca Pkwy",
"city": "Irvine",
"state": "CA",
"country_code": "US",
"postal_code": "926068272",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.