Jada Mercedes Elliard, MS

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

225 Pennbright Dr
Houston, TX 77090-5915

Phone

(832) 943-4035

NPI assigned

Jan 20, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Gdi Enterprise

  • Case Manager/Care Coordinator
  • Houston, TX
  • NPI 1538872858
  NPD

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1346830791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 PENNBRIGHT DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770905915",
            "telephone_number": "832-943-4035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 PENNBRIGHT DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770905915",
            "telephone_number": "832-943-4035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIARD",
        "first_name": "JADA",
        "middle_name": "MERCEDES",
        "name_prefix": "Ms.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-20",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373188702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Brooke Ellerin
• Ellery Woo PSYD PLLC
• Patricia C Elles, CRNA
• Jazmine Hillary Elleston, MD
• Elli-Care Health Support
• Sridevi Ellickal, MD
• Justine D Elling, NP
• Kariana Ellingsen, LPC-A
• Ellington Field Satellite Clinic
• Roslyn Ellington, FNP

• Case Manager/Care Coordinator in Houston, TX
• Providers in Houston, TX by specialty
• Case Manager/Care Coordinator in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.