Individual provider Active NPI

Elena Francesca Seitz, MSN,RN,APRN,PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1205138476
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
691648 Issued in CA
Practice address
90 Van Ness Ave
Central City Older Adult Clinic,
San Francisco, CA 94102-6013
Phone
(415) 558-5998
NPI assigned
Nov 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 691648 CA
Registered Nurse 163W00000X 691648 CA
Community Health Registered Nurse 163WC1500X 691648 CA
Cardiac Rehabilitation Registered Nurse 163WC3500X 691648 CA
Gerontology Registered Nurse 163WG0600X 691648 CA
Hospice Registered Nurse 163WH1000X 691648 CA
Medical-Surgical Registered Nurse 163WM0705X 691648 CA
Neuroscience Registered Nurse 163WN0800X 691648 CA
Pain Management Registered Nurse 163WP0000X 691648 CA
Psychiatric/Mental Health Registered Nurse 163WP0808X 691648 CA
Nurse Practitioner 363L00000X 95001770 CA
Community Health Nurse Practitioner 363LC1500X 95001770 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 168396 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 691648 CA Primary

Addresses

Primary practice location

90 Van Ness Ave
Central City Older Adult Clinic,
San Francisco, CA 94102-6013

Mailing address

90 Van Ness Avenue
Central City Older Adults Clinic,
San Francisco, CA 94102-6013
Phone (415) 558-5998

Other practice location 1

1111 Chandler St
Tewksbury, MA 01876-3715
Phone (415) 608-2694

Other identifiers 8

IdentifierTypeStateIssuer
CNP168396OtherMAMASSACHUSETTS APRN AUTHORIZATION-CNP
T20211401OtherMDRN LICENSE - MARYLAND BOARD OF REGISTERED NURSING -T
2014027023OtherAMERICAN NURSES CREDENTIALING CENTER PMHNP-BC
95001770OtherCANP CERTIFICATE - CALIFORNIA BOARD OF REGISTERED NURSING
RN168396OtherMAMASSACHUSETTS RN LICENSE
691648OtherCARN LICENSE - CALIFORNIA BOARD OF REGISTERED NURSING (BORN)
2014027023OtherAMERICAN NURSES CREDENTIALING CENTER
95001770OtherCACALIFORNIA NURSE PRACTITIONER FURNISHING LICENSE - CA BORN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
691648CAMDGerontology Registered Nurse
95001770CAMDNurse Practitioner
168396MAMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1205138476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 VAN NESS AVENUE",
            "address_2": "CENTRAL CITY OLDER ADULTS CLINIC,",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941026013",
            "telephone_number": "415-558-5998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 VAN NESS AVE",
            "address_2": "CENTRAL CITY OLDER ADULT CLINIC,",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941026013",
            "telephone_number": "415-558-5998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 Chandler St",
            "address_purpose": "LOCATION",
            "city": "Tewksbury",
            "state": "MA",
            "postal_code": "018763715",
            "country_code": "US",
            "telephone_number": "415-608-2694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEITZ",
        "first_name": "ELENA",
        "middle_name": "FRANCESCA",
        "name_prefix": "Ms.",
        "credential": "MSN,RN,APRN,PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-22",
        "last_updated": "2022-07-21",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "CA",
            "license": "691648",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "691648",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CA",
            "license": "691648",
            "primary": false
        },
        {
            "code": "163WC3500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Cardiac Rehabilitation",
            "state": "CA",
            "license": "691648",
            "primary": false
        },
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "CA",
            "license": "691648",
            "primary": false
        },
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "CA",
            "license": "691648",
            "primary": false
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "CA",
            "license": "691648",
            "primary": false
        },
        {
            "code": "163WN0800X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neuroscience",
            "state": "CA",
            "license": "691648",
            "primary": false
        },
        {
            "code": "163WP0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pain Management",
            "state": "CA",
            "license": "691648",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "691648",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95001770",
            "primary": false
        },
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "CA",
            "license": "95001770",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "168396",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "691648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSACHUSETTS APRN AUTHORIZATION-CNP",
            "identifier": "CNP168396",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE - MARYLAND BOARD OF REGISTERED NURSING -T",
            "identifier": "T20211401",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN NURSES CREDENTIALING CENTER PMHNP-BC",
            "identifier": "2014027023",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP CERTIFICATE - CALIFORNIA BOARD OF REGISTERED NURSING",
            "identifier": "95001770",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSACHUSETTS RN LICENSE",
            "identifier": "RN168396",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE - CALIFORNIA BOARD OF REGISTERED NURSING (BORN)",
            "identifier": "691648",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN NURSES CREDENTIALING CENTER",
            "identifier": "2014027023",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA NURSE PRACTITIONER FURNISHING LICENSE - CA BORN",
            "identifier": "95001770",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.