Active NPI
Zana Elliot Enterprises LLC
- Family Nurse Practitioner
- Tyler, TX
National Provider Identifier
1093025751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 738885
- Legal business name
- ZANA ELLIOT ENTERPRISES LLC
- Practice address
- 12751 Westbrook Dr
Tyler, TX 75704 - Phone
- (903) 941-0786
- Fax
- (903) 881-5145
- NPI assigned
- Oct 15, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Zana Elliott, FNP
- Title
- Sole MBR
- Phone
- (903) 941-0786
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 738885 | TX | Primary |
Addresses
Primary practice location
12751 Westbrook Dr
Tyler, TX 75704
Mailing address
12751 Westbrook Dr
Tyler, TX 75704
Phone (903) 941-0786
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2200 W Upshur Ave
Gladewater, TX 75647
Phone (903) 845-2181
107 Stacy Dr
Whitehouse, TX 75791
Phone (718) 382-1313
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Tyler, TX
- NPI 1699973917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287100800000",
"number": "1093025751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12751 WESTBROOK DR",
"city": "TYLER",
"state": "TX",
"postal_code": "75704",
"telephone_number": "903-941-0786",
"fax_number": "903-881-5145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12751 WESTBROOK DR",
"city": "TYLER",
"state": "TX",
"postal_code": "75704",
"telephone_number": "903-941-0786",
"fax_number": "903-881-5145"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ZANA ELLIOT ENTERPRISES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-15",
"last_updated": "2010-10-15",
"status": "A",
"authorized_official_last_name": "ELLIOTT",
"authorized_official_first_name": "ZANA",
"authorized_official_title_or_position": "SOLE MBR",
"authorized_official_telephone_number": "903-941-0786",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "738885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.