Active NPI
Terri Renee Elffner, PA-C
- Physician Assistant
- Fort Collins, CO
National Provider Identifier
1306877352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1082
- Practice address
- 4674 Snow Mesa Dr
Sutie 140
Fort Collins, CO 80528-8615 - Phone
- (970) 482-0213
- Fax
- (970) 482-9646
- NPI assigned
- Jul 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1082 | CO | Primary |
Addresses
Primary practice location
4674 Snow Mesa Dr
Sutie 140
Fort Collins, CO 80528-8615
Mailing address
4674 Snow Mesa Dr.
Ste. 140
Fort Collins, CO 80528
Phone (970) 482-0213
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1082 | CO | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorado State University | Past | Accepting new patients | |
| Family Physical Therapy Center, P.C. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinic/Center
- Fort Collins, CO
- NPI 1528156437
-
- Specialist
- Fort Collins, CO
- NPI 1407834377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387497600000",
"number": "1306877352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4674 SNOW MESA DR.",
"address_2": "STE. 140",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "80528",
"telephone_number": "970-482-0213",
"fax_number": "970-482-9646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4674 SNOW MESA DR",
"address_2": "SUTIE 140",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805288615",
"telephone_number": "970-482-0213",
"fax_number": "970-482-9646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELFFNER",
"first_name": "TERRI",
"middle_name": "RENEE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-06",
"last_updated": "2013-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "1082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.