Elma F Callis

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5004478 Issued in NC

Practice address

288 S Ridgecrest Ave
Rutherfordton, NC 28139-2838

Phone

(828) 286-5508

NPI assigned

Sep 16, 2009

Last updated

Jun 19, 2014By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rutherford Emergency Medicine PA

  • Emergency Medicine Physician
  • Rutherfordton, NC
  • NPI 1700801636
  NPD (past)

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403136000000",
    "number": "1093048522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 75358",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282750358",
            "telephone_number": "843-237-3378",
            "fax_number": "843-237-9736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 S RIDGECREST AVE",
            "city": "RUTHERFORDTON",
            "state": "NC",
            "postal_code": "281392838",
            "telephone_number": "828-286-5508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLIS",
        "first_name": "ELMA",
        "middle_name": "F",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-16",
        "last_updated": "2014-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5004478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Elizabeth Bublitz, MD
• Megan Moore Bumgarner, FNP-C
• Tiffany Bush, LCAS
• Carmen McDaniel Butler, ED.D
• Paula Winebarger Bynnom, LCAS
• Kaitlyn Nicole Canipe, LCMHCA, NCC
• Carenet Inc
• Elliot Frank Carey, LCSWA
• Carolina Assisted Care
• Carolina Spine & Neurosurgery Center PA

• Nurse Practitioner in Rutherfordton, NC
• Providers in Rutherfordton, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; 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.