Individual provider Active NPI

Lisa L Eloff, RN, CPNP

  • Pediatric Nurse Practitioner
  • Saint Peters, MO
National Provider Identifier
1366688327
Registry record updated Dec 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
092667 Issued in MO
Practice address
107 Piper Hill Dr
Suite 130
Saint Peters, MO 63376-1651
Phone
(636) 928-5950
Fax
(636) 928-5952
NPI assigned
Dec 22, 2008
Last updated
Dec 22, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 092667 MO Primary

Addresses

Primary practice location

107 Piper Hill Dr
Suite 130
Saint Peters, MO 63376-1651

Mailing address

107 Piper Hill Dr
Suite 130
Saint Peters, MO 63376-1651
Phone (636) 928-5950

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)
Not enrolled
Credentials
Certified Pediatric Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
092667MOMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic East Communities Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: leloff29514@directc.mercy.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1229904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229904000000",
    "number": "1366688327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 PIPER HILL DR",
            "address_2": "SUITE 130",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761651",
            "telephone_number": "636-928-5950",
            "fax_number": "636-928-5952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 PIPER HILL DR",
            "address_2": "SUITE 130",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761651",
            "telephone_number": "636-928-5950",
            "fax_number": "636-928-5952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELOFF",
        "first_name": "LISA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "RN, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-22",
        "last_updated": "2008-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MO",
            "license": "092667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2008; 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.