Mary Frances Elliott
Individual provider Active NPI Homemaker · Ranson, WV
NPI 1285245142 · NPPES record last updated Aug 13, 2020
Key facts
- NPI
- 1285245142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- Practice address
- 103 W 5TH Ave
Ranson, WV 25438-1405 - Phone
- (304) 725-4044
- NPI assigned
- Aug 13, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | Yes |
Addresses
Primary practice location
103 W 5TH Ave
Ranson, WV 25438-1405
Mailing address
103 W 5TH Ave
Ranson, WV 25438-1405
Phone (304) 725-4044
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | jccoa | Direct |
NPI Registry JSON
{
"created_epoch": "1597276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597276800000",
"number": "1285245142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 W 5TH AVE",
"city": "RANSON",
"state": "WV",
"postal_code": "254381405",
"telephone_number": "304-725-4044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 W 5TH AVE",
"city": "RANSON",
"state": "WV",
"postal_code": "254381405",
"telephone_number": "304-725-4044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIOTT",
"first_name": "MARY",
"middle_name": "FRANCES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-13",
"last_updated": "2020-08-13",
"certification_date": "2020-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "jccoa",
"affiliation": "N",
"endpointDescription": "senior center",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "103 W 5th Ave",
"city": "Ranson",
"state": "WV",
"country_code": "US",
"postal_code": "254381405",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Ranson, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.