Vida Steve Elliott, OTR

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

109331 Issued in TX

Practice address

1407A Key St
Brenham, TX 77833-4543

Phone

(936) 556-2091

NPI assigned

May 18, 2007

Last updated

Dec 5, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543968000000",
    "number": "1356559769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1735",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786271735",
            "telephone_number": "936-556-2091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407A KEY ST",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778334543",
            "telephone_number": "936-556-2091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 S Beckham Ave",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757011908",
            "country_code": "US",
            "telephone_number": "903-531-8019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "VIDA",
        "middle_name": "STEVE",
        "name_prefix": "Mr.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2018-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TX",
            "license": "109331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maren Eberhard, LCSW
• Deborah Ann Edington, APRN FNP-C
• Aurbrey Hanath Eikenhorst, FNP
• Deborah Sue Eilers, RPH
• A Richard Ekibolaji
• Jaimie Lynn Emick, PTA
• Shelly Renee Evans, M.S., LPC
• Jacqualyn Sequeira Faigle, FNP
• Erica Farmer, LPC-S
• Kathy Jeanette Feland

• General Acute Care Hospital in Brenham, TX
• Providers in Brenham, TX by specialty
• General Acute Care Hospital in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; 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.