Active NPI
Stacy M Elliott
- Social Worker
- Houston, TX
National Provider Identifier
1427544998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 66496
- Practice address
- 1301 Regents Park Dr Ste 103
Houston, TX 77058-2536 - Phone
- (281) 282-1301
- NPI assigned
- Jul 7, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 66496 | TX | Primary |
Addresses
Primary practice location
1301 Regents Park Dr Ste 103
Houston, TX 77058-2536
Mailing address
431 Old Course Dr
Friendswood, TX 77546-5662
Phone (409) 443-8600
Other names 1
- Missey Elliott
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 |
|---|---|---|---|
| 66496 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544313600000",
"number": "1427544998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "431 OLD COURSE DR",
"city": "FRIENDSWOOD",
"state": "TX",
"postal_code": "775465662",
"telephone_number": "409-443-8600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 REGENTS PARK DR STE 103",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770582536",
"telephone_number": "281-282-1301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIOTT",
"first_name": "STACY",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-07",
"last_updated": "2018-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "66496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MISSEY",
"last_name": "ELLIOTT",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Houston, TX
- Megan Catherine Elliott, PTA
- Mendie Holt Elliott, M.A.,CCC-SLP
- Rhea E Elliott, F.N.P.
- Robin Michelle Elliott, PHARM D
- Shannon McDermott Elliott, PA-C
- Tana Leigh Elliott, RN
- Ellis & Chase Transportation LLC
- Ellis Business Group LLC. (Sit With Me)
- Ellis Chiropractic and Rehabilitation Inc.
- Ellis Heart Havens
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.