Lana Marie Elliott

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN0000022714 Issued in TN

Practice address

2552 Bancroft Rd
MC Donald, TN 37353-5315

Phone

(423) 315-1603

NPI assigned

Aug 9, 2017

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bradley Physician Services, LLC

  • Orthopaedic Surgery of the Spine Physician
  • Cleveland, TN
  • NPI 1710727540

  Family, TN

  Medicare reassignment Care Compare group NPD
• Bradley Polk Walk in Clinic

  • Rural Health Clinic/Center
  • Ocoee, TN
  • NPI 1770929333

  Family, TN

  Medicare reassignment NPD
• Diagnostic Cardiology Group

  • Cardiovascular Disease Physician
  • Chattanooga, TN
  • NPI 1437148152

  TN

  Medicare reassignment NPD
• Gastrointestinal Associates of Cleveland, PC

  • Gastroenterology Physician
  • Cleveland, TN
  • NPI 1316981087
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bradley Medical Center, LLC

  • General Acute Care Hospital
  • Cleveland, TN
  • NPI 1255171096

  Hospital

  Care Compare affiliation

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Group practices

Bradley Physician Services, LLC 77 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Affiliate of Vitruvian Health Hospital, Cleveland, TN, CCN 440185

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lana.elliott.1@31613.direct.athenahealth.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 9, 2017.

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502236800000",
    "number": "1255856480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2552 BANCROFT RD",
            "city": "MC DONALD",
            "state": "TN",
            "postal_code": "373535315",
            "telephone_number": "423-315-1603",
            "fax_number": "423-315-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2552 BANCROFT RD",
            "city": "MC DONALD",
            "state": "TN",
            "postal_code": "373535315",
            "telephone_number": "423-315-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "LANA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-09",
        "last_updated": "2017-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "RN0000181921",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000022714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Riser Brock, OTL
• Janet Haas Coombs, MD
• Larissa Nicole Croom
• Mark B Dietrich, CRNA
• Elevated Therapy Services
• Enhanced Therapy Solutions Professional LLC
• Dianne Fae Fillman, DDS
• Edward Fox
• Lisamarie Heldzinger, RDN
• Stacie Alysia Hirsch, M.A., CCC-SLP

• All providers in MC Donald, TN
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.