Amy Elliott, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

RN-71818 Issued in NM

Practice address

310 W Sycamore Ave
Bloomfield, NM 87413-5844

Phone

(505) 360-1111

NPI assigned

Sep 8, 2020

Last updated

Sep 8, 2020By the provider in NPPES

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1568076438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 W SYCAMORE AVE",
            "city": "BLOOMFIELD",
            "state": "NM",
            "postal_code": "874135844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W SYCAMORE AVE",
            "city": "BLOOMFIELD",
            "state": "NM",
            "postal_code": "874135844",
            "telephone_number": "505-360-1111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1407 N Carlton Ave",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "NM",
            "postal_code": "874012415",
            "country_code": "US",
            "telephone_number": "505-360-5111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "AMY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NM",
            "license": "RN-71818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DHHS, PHS, Naihs, Shiprock Hospital (Dzilth-Na-O-Dith-Hle Health Center)
• Victoria Dominguez
• David Lynn Doss, O.D.
• Gregory Todd Eckstein, RN
• Judy Linn Edwards
• Mkayla Taylor Ellsworth, LBSW, BS
• Bernadette Diann Enriquez, RN
• Marina B Ferrari, MA,MS,MSED,CCC-SLP
• Emma Y. Foster, PHD
• Melissa R Fred, LMFT

• School Registered Nurse in Bloomfield, NM
• Providers in Bloomfield, NM by specialty
• School Registered Nurse in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; 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.