Active NPI
Debra Sue Elshoff, LPN
- Licensed Practical Nurse
- Cedar Rapids, IA
National Provider Identifier
1376250084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- P59835
- Practice address
- 5005 Bowling St SW Ste C
Cedar Rapids, IA 52404-5070 - Phone
- (319) 531-3824
- NPI assigned
- Nov 2, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | P59835 | IA | Primary |
Addresses
Primary practice location
5005 Bowling St SW Ste C
Cedar Rapids, IA 52404-5070
Mailing address
PO Box 85
Olin, IA 52320-0085
Phone (319) 481-9511
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P59835 | IA | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667347200000",
"number": "1376250084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 85",
"city": "OLIN",
"state": "IA",
"postal_code": "523200085",
"telephone_number": "319-481-9511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5005 BOWLING ST SW STE C",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524045070",
"telephone_number": "319-531-3824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELSHOFF",
"first_name": "DEBRA",
"middle_name": "SUE",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-02",
"last_updated": "2022-11-02",
"certification_date": "2022-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "IA",
"license": "P59835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.