Active NPI
Heather D McElwain, RN
- Registered Nurse
- Marathon, FL
National Provider Identifier
1548746126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R0120409
- Practice address
- 3000 41St Street Ocean
Marathon, FL 33050-2373 - Phone
- (305) 766-4660
- NPI assigned
- Jul 17, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R0120409 | OK | Primary |
Addresses
Primary practice location
3000 41St Street Ocean
Marathon, FL 33050-2373
Mailing address
800 35TH Street Ocean
Marathon, FL 33050-2393
Phone (918) 681-0864
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P005179711 | Other | OK | DRIVERS LICENSE |
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0120409 | OK | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531785600000",
"number": "1548746126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 35TH STREET OCEAN",
"city": "MARATHON",
"state": "FL",
"postal_code": "330502393",
"telephone_number": "918-681-0864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 41ST STREET OCEAN",
"city": "MARATHON",
"state": "FL",
"postal_code": "330502373",
"telephone_number": "305-766-4660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCELWAIN",
"first_name": "HEATHER",
"middle_name": "D",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-17",
"last_updated": "2018-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OK",
"license": "R0120409",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVERS LICENSE",
"identifier": "P005179711",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marathon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.