Individual provider Active NPI

Jill Elsdon, FNP

  • Family Nurse Practitioner
  • San Marcos, CA
National Provider Identifier
1346327020
Registry record updated Nov 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7794 Issued in CA
Practice address
1571 San Elijo Rd S
San Marcos, CA 92078-2044
Phone
(760) 798-9240
Fax
(760) 798-9245
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 7794 CA Primary

Addresses

Primary practice location

1571 San Elijo Rd S
San Marcos, CA 92078-2044

Mailing address

1571 San Elijo Rd S
San Marcos, CA 92078-2044
Phone (760) 798-9240

Other identifiers 1

IdentifierTypeStateIssuer
102719MedicaidAZ

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

LicenseStateTypeSpecialty
7794CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385424000000",
    "number": "1346327020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1571 SAN ELIJO RD S",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782044",
            "telephone_number": "760-798-9240",
            "fax_number": "760-798-9245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1571 SAN ELIJO RD S",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782044",
            "telephone_number": "760-798-9240",
            "fax_number": "760-798-9245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSDON",
        "first_name": "JILL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2013-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "7794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102719",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.

Verify at the official NPI Registry.