Stacey Eletu, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95014771 Issued in CA

Practice address

917 Harrison St
Oakland, CA 94607-4424

Phone

(510) 473-8121

NPI assigned

Oct 4, 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)

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.

• Quest Education Center

  dba Heaven's Court Health Agency

  • Home Health Agency
  • Oakland, CA
  • NPI 1437749595
  NPD Authorized official
• Quest Nursing Health Clinic

  • Primary Care Clinic/Center
  • Oakland, CA
  • NPI 1689264863
  NPD Authorized official

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

{
    "created_epoch": "1728000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1154140499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 HARRISON ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946074424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 HARRISON ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946074424",
            "telephone_number": "510-473-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELETU",
        "first_name": "STACEY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-04",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95014771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Lynn Eldridge, PA-C
• Kesha Renee Eldridge, RN
• Elena Pinsky Elena Pinsky
• Bernard Elendu
• Hannah Elery
• Amina Elfiki, LMFT
• Matthew Addicus Elgin, LMFT
• Rebecca L. Elia, MD
• Judith V Eliachar, M.A.
• Emily Eliash

• Nurse Practitioner in Oakland, CA
• Providers in Oakland, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.