Jessica Dawn Elliott, STNA

Primary specialty

Nurse's AideTaxonomy code 376K00000X

Practice address

18633 Love Rd
Fredericktown, OH 43019-9754

Phone

(740) 507-1534

NPI assigned

Jul 11, 2012

Last updated

Jul 11, 2012By 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

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341964800000",
    "number": "1578828950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18633 LOVE RD",
            "city": "FREDERICKTOWN",
            "state": "OH",
            "postal_code": "430199754",
            "telephone_number": "740-507-1534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18633 LOVE RD",
            "city": "FREDERICKTOWN",
            "state": "OH",
            "postal_code": "430199754",
            "telephone_number": "740-507-1534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "JESSICA",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "STNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-11",
        "last_updated": "2012-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebekah H Crawford, DO
• Richard Scott Davis, D.C.
• Lisa K Dilts
• Mary Bowlus Elder
• William A Elder, MD
• Jodeen Erfurt, SLP
• Kate Esteph
• Heather Rochelle Evans, RN OCN
• Fredericktown Community Joint Emergency Ambulance District
• Fredericktown Family Practice

• Nurse's Aide in Fredericktown, OH
• Providers in Fredericktown, OH by specialty
• Nurse's Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; 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.