Active NPI
Elise Marie Elsbernd, PA-C
- Physician Assistant
- Lexington, KY
National Provider Identifier
1215289947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- IN PROCESS
- Practice address
- University of Kentucky Childrens Hospital
800 Rose Street
Lexington, KY 40536-0001 - Phone
- (859) 323-5741
- NPI assigned
- Oct 4, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | IN PROCESS | KY | Primary |
Addresses
Primary practice location
University of Kentucky Childrens Hospital
800 Rose Street
Lexington, KY 40536-0001
Mailing address
2334 Lake Park Rd
Apt 201
Lexington, KY 40502-6606
Phone (563) 379-7134
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IN PROCESS | KY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349308800000",
"number": "1215289947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2334 LAKE PARK RD",
"address_2": "APT 201",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405026606",
"telephone_number": "563-379-7134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UNIVERSITY OF KENTUCKY CHILDRENS HOSPITAL",
"address_2": "800 ROSE STREET",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405360001",
"telephone_number": "859-323-5741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELSBERND",
"first_name": "ELISE",
"middle_name": "MARIE",
"name_prefix": "Miss",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-04",
"last_updated": "2012-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": "IN PROCESS",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.