Elite Medical Services PNW LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ELITE MEDICAL SERVICES PNW LLC

Doing business as

Elite Family Medicine

Practice address

1216 13TH St
Hood River, OR 97031-1612

Phone

(541) 357-7750

NPI assigned

Jan 17, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kayla Nixon, FNP-C

Title

Owner

Phone

(626) 423-4693

Specialties & licenses 1

Addresses

Other names 1

• Elite Family Medicine Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642377600000",
    "number": "1316698764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 13TH ST",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311612",
            "telephone_number": "541-357-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 13TH ST",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311612",
            "telephone_number": "541-357-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE MEDICAL SERVICES PNW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-17",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A",
        "authorized_official_last_name": "NIXON",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-423-4693",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle M Edwards, PA-C
• Katherine Egan, M.A.
• Lori Jo Elderkin, LPC, CADCI
• Elemental Pediatrics, LLC
• Elevated Athlete LLC
• Elite Medical Services, LLC
• Jayne E Elken, OTR
• Erika Michelle Ellis
• Kimberley Ann Ellis, MA/CCC-SLP
• Emily Jimenez Therapy, LLC

• Family Medicine Physician in Hood River, OR
• Providers in Hood River, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; 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.