Elliott Dabill, RN, PHN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

830529 Issued in CA

Practice address

808 E Street
Eureka, CA 95501

Phone

(707) 476-2177

Fax

(707) 476-2142

NPI assigned

Nov 8, 2013

Last updated

Nov 8, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Humboldt County Behavioral Health

  dba Older Adult OP Services

  • Community/Behavioral Health Agency
  • Eureka, CA
  • NPI 1518085216
  NPD (past)

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

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383868800000",
    "number": "1578992616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 E ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955011856",
            "telephone_number": "707-476-2177",
            "fax_number": "707-476-2142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 E STREET",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "95501",
            "telephone_number": "707-476-2177",
            "fax_number": "707-476-2142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABILL",
        "first_name": "ELLIOTT",
        "credential": "RN, PHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-08",
        "last_updated": "2013-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "830529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA STATE BOARD OF REGISTERED NURSING",
            "identifier": "830529",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chanel Curtis, LVN
• Courtney Curtis, LVN
• Cutten School District
• Alisha C Czech
• Shakti Nammu D'Arc-En Ciel
• Donna Gale Daily
• Sheri Renae Daily
• Caitlin Elizabeth Dale, PA-C
• Darla Diane Dale, RDHAP
• Timothy John Dalsaso, MD

• Registered Nurse in Eureka, CA
• Providers in Eureka, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; 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.