Active NPI
Elisabeth Dillon
- Certified Registered Nurse Anesthetist
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 660893
- Practice address
- 13102 Maple Park Dr
San Antonio, TX 78249-3628 - Phone
- (013) 022-2506
- NPI assigned
- Feb 10, 2010
- Last updated
- Feb 10, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 660893 | TX | Primary |
| Registered Nurse | 163W00000X | 660893 | TX |
Addresses
Primary practice location
13102 Maple Park Dr
San Antonio, TX 78249-3628
Mailing address
65TH Med Bde
Box 775
Apo, AP 96205
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 660893 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Houston Anesthesia Services PLLC | Current | Accepting new patients | |
| Austin Gastroenterology Anesthesia Associates PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700
8015 Shoal Creek Blvd
Ste 300
Austin, TX 78757
Phone (512) 371-1519
6200 Savoy Dr
Ste 1202
Houston, TX 77036
Phone (254) 220-5560
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Austin, TX
- NPI 1427405810
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Houston, TX
- NPI 1194332130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265760000000",
"number": "1164754594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "MIL",
"address_1": "65TH MED BDE",
"address_2": "BOX 775",
"city": "APO",
"state": "AP",
"postal_code": "96205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13102 MAPLE PARK DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782493628",
"telephone_number": "013-022-2506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILLON",
"first_name": "ELISABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-10",
"last_updated": "2010-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "660893",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "660893",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.