Elite Complete Care LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

ELITE COMPLETE CARE LLC

Practice address

1425 Darnaby Way
Orlando, FL 32824-5073

Phone

(321) 948-6674

NPI assigned

Dec 1, 2023

Organization subpart

No

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

Authorized official

Name

Alice Tupere Kishoiyian, NPNPI 1659032100

Title

Manager

Phone

(321) 948-6674

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alice T Kishoiyian

  • Nurse Practitioner
  • Orlando, FL
  • NPI 1659032100
  NPD Authorized official

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

{
    "created_epoch": "1701388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1245006022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 770843",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328770843",
            "telephone_number": "321-948-6674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 DARNABY WAY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328245073",
            "telephone_number": "321-948-6674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE COMPLETE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-01",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A",
        "authorized_official_last_name": "KISHOIYIAN",
        "authorized_official_first_name": "ALICE",
        "authorized_official_middle_name": "TUPERE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "321-948-6674",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Nurse Practitioner in Orlando, FL
• Providers in Orlando, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.