Keith F Elliott, R.N.

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

Practice address

17088 Old State Rd
Sycamore, IL 60178-8547

Phone

(815) 895-3595

NPI assigned

Feb 29, 2008

Sex

Male

Sole proprietor

Yes

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204243200000",
    "number": "1154590560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17088 OLD STATE RD",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601788547",
            "telephone_number": "815-895-3595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17088 OLD STATE RD",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601788547",
            "telephone_number": "815-895-3595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "KEITH",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-29",
        "last_updated": "2008-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas S Dwyer, D.P.M.
• Corban Ege, PT,DPT
• Lisa Michelle Ege
• Matthew Eickman, PT
• Elite Cardiology Solutions LLC
• Linda S Elliott, R.N.
• Emily Hummel Counseling, LLC
• Melissa Emma, COTA/L
• Laura Ann Emmert, CCC/SLP
• Enriching Wellness LLC

• All providers in Sycamore, IL
• Home Health Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; 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.