Organization Active NPI

Elev8 Health & Wellness LLC

  • Community/Behavioral Health Agency
  • Providence, RI
National Provider Identifier
1124710355
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ELEV8 HEALTH & WELLNESS LLC
Practice address
189 Governor St Ste 202
Providence, RI 02906-3124
Phone
(401) 258-2579
NPI assigned
May 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Authorized official

Name
Ms. Elizabeth Da Silva, NP
Title
Aprn
Phone
(401) 258-2579

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

189 Governor St Ste 202
Providence, RI 02906-3124

Mailing address

115 Columbus Ave
Pawtucket, RI 02860-5550
Phone (401) 258-2579

National Provider Directory

National Provider Directory

Locations

189 Governor St
Ste 202
Providence, RI 02906
Phone (401) 484-4138

NPI Registry JSON

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684972800000",
    "number": "1124710355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 COLUMBUS AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028605550",
            "telephone_number": "401-258-2579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 GOVERNOR ST STE 202",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029063124",
            "telephone_number": "401-258-2579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEV8 HEALTH & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A",
        "authorized_official_last_name": "DA SILVA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "401-258-2579",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.