Lisa Ann Elliott

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

323560 Issued in FL

Practice address

161 Booker LN
Cantonment, FL 32533-1528

Phone

(850) 760-3555

NPI assigned

May 9, 2016

Sex

Female

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

State licenses

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

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462752000000",
    "number": "1154777191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 BOOKER LN",
            "city": "CANTONMENT",
            "state": "FL",
            "postal_code": "325331528",
            "telephone_number": "850-760-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 BOOKER LN",
            "city": "CANTONMENT",
            "state": "FL",
            "postal_code": "325331528",
            "telephone_number": "850-760-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "LISA",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-09",
        "last_updated": "2016-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "FL",
            "license": "323560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Duffield, ARNP
• Devan Dunlap
• Andrea Blair Edgar, LCSW
• Sesil Edwards
• Urshula Lashay Edwards, BSN, RN
• Amber Nicole Ellis, RBT
• Kim Marie Empie, L.M.H.C.
• Encompass Therapies, Inc.
• Sydney English
• Escambia Community Clinics Inc

• All providers in Cantonment, FL
• Nurse's Aide in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; 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.