Individual provider Active NPI

Dana Elliott, N.P.

  • Gerontology Nurse Practitioner
  • Uniontown, OH
National Provider Identifier
1487022182
Registry record updated May 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
COA 17992 Issued in OH
Practice address
3743 Boettler Oaks Dr
Suite E
Uniontown, OH 44685-6227
Phone
(330) 899-9100
Fax
(330) 899-2679
NPI assigned
Sep 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X COA 17992 OH Primary

Addresses

Primary practice location

3743 Boettler Oaks Dr
Suite E
Uniontown, OH 44685-6227

Mailing address

3743 Boettler Oaks Dr
Suite E
Uniontown, OH 44685-6227
Phone (330) 899-9100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20160725003101 OH Practitioner - Nurse Practitioner 0042503286 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
COA 17992OHMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Hospice of Northeast CurrentSince May 1, 2016 Accepting new patients
Signify Health, LLC CurrentSince Mar 1, 2022 Accepting new patients
Crossroads Hospice of Northeast Ohio, LLC PastSince Nov 6, 2022 Accepting new patients

Locations

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

3743 Boettler Oaks Dr
Ste E
Green, OH 44685
Phone (330) 899-9100

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1441929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464307200000",
    "number": "1487022182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3743 BOETTLER OAKS DR",
            "address_2": "SUITE E",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446856227",
            "telephone_number": "330-899-9100",
            "fax_number": "330-899-2679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3743 BOETTLER OAKS DR",
            "address_2": "SUITE E",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446856227",
            "telephone_number": "330-899-9100",
            "fax_number": "330-899-2679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "DANA",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-11",
        "last_updated": "2016-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "COA 17992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, OH

Sources for this page

Verify at the official NPI Registry.