Individual provider Active NPI

Elena Acosta Jallorina, R.N.

  • Ambulatory Care Registered Nurse
  • Fort Hood, TX
National Provider Identifier
1417905373
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care Registered NurseTaxonomy code 163WP2201X
License
636234 Issued in TX
Practice address
Carl R Darnall Army Medical Center
BLDG 36000
Fort Hood, TX 76544-2703
Phone
(254) 288-8090
NPI assigned
May 4, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Registered Nurse 163WP2201X 636234 TX Primary

Addresses

Primary practice location

Carl R Darnall Army Medical Center
BLDG 36000
Fort Hood, TX 76544-2703

Mailing address

3605 Woodlake Dr
Killeen, TX 76549-4212
Phone (254) 247-8595

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
636234TXMDAmbulatory Care Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417905373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 WOODLAKE DR",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765494212",
            "telephone_number": "254-247-8595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARL R DARNALL ARMY MEDICAL CENTER",
            "address_2": "BLDG 36000",
            "city": "FORT HOOD",
            "state": "TX",
            "postal_code": "765442703",
            "telephone_number": "254-288-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JALLORINA",
        "first_name": "ELENA",
        "middle_name": "ACOSTA",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "TX",
            "license": "636234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Hood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.