Mary Ileen Elliff, CRNFA

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

321165 Issued in CA

Practice address

76 Brookwood Ave
Santa Rosa Ambulatory Surgery Center
Santa Rosa, CA 95404

Phone

(510) 970-5000

NPI assigned

Oct 23, 2006

Sex

Female

Sole proprietor

No

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245313477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1288",
            "city": "HEALDSBURG",
            "state": "CA",
            "postal_code": "95448",
            "telephone_number": "707-433-6279",
            "fax_number": "707-433-6279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 BROOKWOOD AVE",
            "address_2": "SANTA ROSA AMBULATORY SURGERY CENTER",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "95404",
            "telephone_number": "510-970-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIFF",
        "first_name": "MARY",
        "middle_name": "ILEEN",
        "name_prefix": "Mrs.",
        "credential": "CRNFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "CA",
            "license": "321165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Monique Ellington
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• Jeffrey Craig Elliott, D.D.S.
• Liam Kenneth Elliott, FNP
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• Registered Nurse First Assistant in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Registered Nurse First Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.