Katie B Elliott, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

0024191394 Issued in VA

Practice address

3198 Pacific Ave Ste 104
Virginia Beach, VA 23451-2949

Phone

(757) 428-1911

NPI assigned

Oct 8, 2024

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

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3738/brand/1/csg/1/fhir/r4
• Direct secure messaging: katie.elliott.1@3738.direct.athenahealth.com

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

• The Doctor'S in, PC

  • Emergency Medicine Physician
  • Virginia Beach, VA
  • NPI 1720205172
  NPD

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

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1154140010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3198 PACIFIC AVE STE 104",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234512949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3198 PACIFIC AVE STE 104",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234512949",
            "telephone_number": "757-428-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "KATIE",
        "middle_name": "B",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024191394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Hope Elliott, CRNA
• Candice Elliott
• Daniel Prentice Elliott, M.D.
• Denise Elliott
• Essence Chevair Elliott
• Olga Aleksandrovna Elliott, M.D.
• Pamela R Elliott, MSPT
• Tamiria Elliott
• Melissa Kaye Ellis El, B.A.,M.S.
• Abduf Ellis

• Nurse Practitioner in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.