Individual provider Active NPI

Jeanne Noel Elliott, ACNP, FNP

  • Family Nurse Practitioner
  • Hoquiam, WA
National Provider Identifier
1518996826
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP30007337 Issued in WA
Practice address
2555 Sumner Ave
Hoquiam, WA 98550-3930
Phone
(360) 593-0688
NPI assigned
Jun 30, 2006
Last updated
Feb 20, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2013

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 AP30007337 WA Primary

Addresses

Primary practice location

2555 Sumner Ave
Hoquiam, WA 98550-3930

Mailing address

2577 E Hoquiam Rd
Hoquiam, WA 98550-9115
Phone (360) 593-0688

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP30007337WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Quinault Indian Nation Past Accepting new patients
Harbor Chiropractic Center Inc. P.S. PastSince Feb 11, 2020 Accepting new patients

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, 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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361318400000",
    "number": "1518996826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2577 E HOQUIAM RD",
            "city": "HOQUIAM",
            "state": "WA",
            "postal_code": "985509115",
            "telephone_number": "360-593-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 SUMNER AVE",
            "city": "HOQUIAM",
            "state": "WA",
            "postal_code": "985503930",
            "telephone_number": "360-593-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "JEANNE",
        "middle_name": "NOEL",
        "name_prefix": "Mrs.",
        "credential": "ACNP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2013-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30007337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoquiam, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; 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.