Active NPI
Elaine Estes
- Community Health/Public Health Clinical Nurse Specialist
- Fairlawn, OH
National Provider Identifier
1063137479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health/Public Health Clinical Nurse Specialist
- License
- 880878351
- Practice address
- 3618 W Market St
Fairlawn, OH 44333-2425 - Phone
- (234) 466-0445
- Fax
- (234) 466-0359
- NPI assigned
- Oct 7, 2022
- 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 |
|---|---|---|---|---|
| Community Health/Public Health Clinical Nurse Specialist | 364SC1501X | 880878351 | OH | Primary |
Addresses
Primary practice location
3618 W Market St
Fairlawn, OH 44333-2425
Mailing address
3618 W Market St
Fairlawn, OH 44333-2425
Phone (234) 466-0445
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 |
|---|---|---|---|
| 880878351 | OH | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665100800000",
"number": "1063137479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3618 W MARKET ST",
"city": "FAIRLAWN",
"state": "OH",
"postal_code": "443332425",
"telephone_number": "234-466-0445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3618 W MARKET ST",
"city": "FAIRLAWN",
"state": "OH",
"postal_code": "443332425",
"telephone_number": "234-466-0445",
"fax_number": "234-466-0359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTES",
"first_name": "ELAINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-07",
"last_updated": "2022-10-07",
"certification_date": "2022-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "364SC1501X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Community Health/Public Health",
"state": "OH",
"license": "880878351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairlawn, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.