Elite Vein and Nerve LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

ELITE VEIN AND NERVE LLC

Practice address

2828 Tamiami TRL N
Naples, FL 34103-4414

Phone

(805) 588-3154

Fax

(239) 300-7208

NPI assigned

May 18, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Jade Stevens, DC

Title

Owner

Phone

(805) 588-3154

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1063103125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 TAMIAMI TRL N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341034414",
            "telephone_number": "805-588-3154",
            "fax_number": "239-300-7208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 TAMIAMI TRL N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341034414",
            "telephone_number": "805-588-3154",
            "fax_number": "239-300-7208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE VEIN AND NERVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-18",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "JADE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-588-3154",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elite Passenger Transport LLC
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• Elite Primary Healthcare Corp
• Elite Retail Pharmacy, Inc.
• Elite Wound Care
• Elitemedcare
• Victoria Elkins
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• Ellie Mental Health of Naples at 75 Vineyards Blvd (Ellie Mental Health)

• General Practice Physician in Naples, FL
• Providers in Naples, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.