Kelli Elliott

Primary specialty

Health EducatorTaxonomy code 174H00000X

License

0001 Issued in OR

Practice address

128 S 11TH St
Klamath Falls, OR 97601-5806

Phone

(541) 274-2770

Fax

(541) 274-2779

NPI assigned

Jul 22, 2020

Last updated

Jul 22, 2020By 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)

Not enrolled

State licenses

Practice roles

Locations

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.

• Sky Lakes Medical Center Inc

  • Health Service Clinic/Center
  • Klamath Falls, OR
  • NPI 1962000661

  Health Educator

  NPD
• Sky Lakes Medical Center Inc

  • General Acute Care Hospital
  • Klamath Falls, OR
  • NPI 1659340370
  NPD (past)

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1134737471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 S 11TH ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976015806",
            "telephone_number": "541-274-2770",
            "fax_number": "541-274-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 S 11TH ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976015806",
            "telephone_number": "541-274-2770",
            "fax_number": "541-274-2779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2865 Daggett Ave",
            "address_purpose": "LOCATION",
            "city": "Klamath Falls",
            "state": "OR",
            "postal_code": "976011106",
            "country_code": "US",
            "telephone_number": "541-274-2770",
            "fax_number": "541-274-2779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "KELLI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "OR",
            "license": "0001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joann Davidson Eiman, PA
• Aaron Ashruf El-Dinary
• Jennifer Lynell Elder
• Eldorado Heights Assisted Living Communities LLC (Eldorado Heights)
• Ashley Elliott
• Kelly Skidgel Elliott, LCSW
• Misty R Elrod, PSS
• Heather Joan Emel, OTR/L
• Emeritus Corporation (Brookdale Klamath Falls)
• Thomas Endicott, RPH

• Health Educator in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Health Educator in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.