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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
CONNECT URL jccoa Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 13, 2020.

{
    "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

All providers in Ranson, WV · Homemaker in West Virginia

Sources for this page

Verify at the official NPI Registry.