Active NPI
Janet Susan Elswick, FNP
- Family Medicine Physician
- Grundy, VA
National Provider Identifier
1609930221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0024089979
- Practice address
- 18765 Riverside Drive
Grundy, VA 24614 - Phone
- (276) 935-2880
- Fax
- (276) 935-2889
- NPI assigned
- Dec 20, 2006
- Last updated
- Aug 7, 2009
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0024089979 | VA | Primary |
Addresses
Primary practice location
18765 Riverside Drive
Grundy, VA 24614
Mailing address
PO Box 498
Keen Mountain, VA 24624-0498
Phone (276) 935-2880
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C10166 | Other | VA | MEDICARE GROUP PTAN |
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)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Buchanan Health Diabetes Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Grundy, VA
- NPI 1376809384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249603200000",
"number": "1609930221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 498",
"city": "KEEN MOUNTAIN",
"state": "VA",
"postal_code": "246240498",
"telephone_number": "276-935-2880",
"fax_number": "276-935-2889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18765 RIVERSIDE DRIVE",
"city": "GRUNDY",
"state": "VA",
"postal_code": "24614",
"telephone_number": "276-935-2880",
"fax_number": "276-935-2889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELSWICK",
"first_name": "JANET",
"middle_name": "SUSAN",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-20",
"last_updated": "2009-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0024089979",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PTAN",
"identifier": "C10166",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grundy, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.