Emily Elliott, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-120840 Issued in AL

Practice address

1758 Park PL Ste 100
Montgomery, AL 36106-1133

Phone

(334) 265-8455

NPI assigned

Aug 14, 2014

Last updated

May 21, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• John K.L. Porter, D.O., PC

  • Internal Medicine Physician
  • Montgomery, AL
  • NPI 1083096747
  Medicare reassignment NPD
• William O. Sargeant PC

  • Family Medicine Physician
  • Montgomery, AL
  • NPI 1598827552
  NPD

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1528467701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1758 PARK PL STE 100",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1758 PARK PL STE 100",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061133",
            "telephone_number": "334-265-8455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "EMILY",
        "name_prefix": "Miss",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-14",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-120840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jawaneka P Ellerson, AG NPC
• Clarita Ellington, OTR
• Eraya Ellington
• Eryka Ellington
• Darin Lamar Elliott, PHARMD
• Jessica Nelson Elliott, DO, PHD
• Leah Shepherd Elliott, LMFT
• Lisa Christian Elliott, LPC-S, NCC, RPT-S
• Tiffany Camilla Elliott, LMFT
• Dawn A Ellis-Murray, LICSW-PIP, S

• Family Nurse Practitioner in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.