Individual provider Active NPI

Deborah Hoffman Elliott, MSN, FNP-C

  • Family Nurse Practitioner
  • Appomattox, VA
National Provider Identifier
1467767285
Registry record updated Aug 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024168927 Issued in VA
Practice address
181 Old Courthouse Rd
Appomattox, VA 24522-9853
Phone
(434) 352-3003
Fax
(434) 352-5005
NPI assigned
Aug 17, 2010
Last updated
Aug 25, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024168927 VA Primary

Addresses

Primary practice location

181 Old Courthouse Rd
Appomattox, VA 24522-9853

Mailing address

101 Candlewood CT
Lynchburg, VA 24502-2654
Phone (434) 363-4190

Other names 1

  • Miss Deborah Hoffman Elliott Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110415000724 VA Practitioner - Nurse Practitioner 3476737461 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Apr 13, 2017 Accepting new patients
Privia Medical Group, LLC CurrentSince Apr 13, 2017 Accepting new patients

Locations

8644 Sudley Rd
#220
Manassas, VA 20110

Organizations & group practices 2

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": "1282003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472083200000",
    "number": "1467767285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CANDLEWOOD CT",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245022654",
            "telephone_number": "434-363-4190",
            "fax_number": "434-363-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 OLD COURTHOUSE RD",
            "city": "APPOMATTOX",
            "state": "VA",
            "postal_code": "245229853",
            "telephone_number": "434-352-3003",
            "fax_number": "434-352-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "DEBORAH",
        "middle_name": "HOFFMAN",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-17",
        "last_updated": "2016-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024168927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "ELLIOTT",
            "middle_name": "HOFFMAN",
            "prefix": "MISS",
            "credential": "BSN, RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Appomattox, VA

Sources for this page

Verify at the official NPI Registry.