Heidi Dawn Elliott

Primary specialty

Infusion Therapy Registered NurseTaxonomy code 163WI0500X

License

RN00157846 Issued in WA

Practice address

1420 3Rd St SE Ste 106
Puyallup, WA 98372-3730

Phone

(253) 202-3495

NPI assigned

Mar 9, 2021

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Pediatric Infusion Services LLC

  • Infusion Therapy Clinic/Center
  • Puyallup, WA
  • NPI 1215528625
  NPD Authorized official

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1548845779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1643 BROWNS POINT BLVD",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984222308",
            "telephone_number": "253-202-3495",
            "fax_number": "253-944-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 3RD ST SE STE 106",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723730",
            "telephone_number": "253-202-3495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "HEIDI",
        "middle_name": "DAWN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "WA",
            "license": "RN00157846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maha Mohamed Elhadidi, DDS
• Rockne K Eli
• Nikki N Ellah, RCMA
• Ellen Polsky DDS
• Sandra Bee Ellingboe
• Ellis Chiropractic LLC
• Linda Sue Ellis, LMT
• Mitch Ellis, D.C.
• Sunam Ellis
• Mark J Elmore I, D.D.S.,P.S.

• Infusion Therapy Registered Nurse in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Infusion Therapy Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.