Elizabeth Jan Gillespie Crna

Primary specialty

Critical Access HospitalTaxonomy code 282NC0060X

License

ARNP 9208292 Issued in FL

Legal business name

ELIZABETH JAN GILLESPIE CRNA

Practice address

1717 N E St
Pensacola, FL 32501-6339

Phone

(850) 434-4858

NPI assigned

Jan 18, 2007

Last updated

Jul 22, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elizabeth Jan Gillespie, CRNANPI 1861449787

Title

Crna

Phone

(850) 995-6193

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• elizabeth jan gillespie Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth Jan Gillespie, CRNA

  • Certified Registered Nurse Anesthetist
  • Duluth, GA
  • NPI 1861449787
  NPD (past) Authorized official

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248220800000",
    "number": "1538212147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3090 COBBLESTONE DR",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325718425",
            "telephone_number": "850-995-6193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 N E ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325016339",
            "telephone_number": "850-434-4858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH JAN GILLESPIE CRNA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2009-07-22",
        "status": "A",
        "authorized_official_last_name": "GILLESPIE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "JAN",
        "authorized_official_title_or_position": "CRNA",
        "authorized_official_telephone_number": "850-995-6193",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "FL",
            "license": "ARNP 9208292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1300980 03",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD",
            "identifier": "430047793",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "89932-C",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "elizabeth jan gillespie",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Okan Elidemir, MD
• Elisa Wells Jones LCSW LLC
• Elite Endodontics
• Elite Endodontics of Pensacola PLLC
• Elite Private Duty Nursing I, LLC (Sherri L Pucillo MSN, APRN, FNP-C)
• Elizabeth Townleys Harmony Healthcare LLC
• Francis P Ellard, OT/L
• Ellen W McKnight MD PLLC (Summit Arthritis and Infusion)
• Nicole D Eller, DO
• Stephanie Ellerbe, PMHNP

• Critical Access Hospital in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Critical Access Hospital in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; 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.