Johanna A Elliott, DC
Individual provider Active NPI Chiropractor · Caldwell, TX
NPI 1609947654 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1609947654
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 5900 (TX)
- Practice address
- 101 Hwy 21 E
Caldwell, TX 77836 - Phone
- (979) 567-7001
- Fax
- (979) 567-0981
- NPI assigned
- Nov 13, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
101 E Hwy 21
Caldwell, TX 77836-1225
Phone (979) 567-7001
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100913000574 | TX | Practitioner - Chiropractic | 6406971563 | Practice locations: Caldwell, TX |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5900 | TX | Yes |
Addresses
Primary practice location
101 Hwy 21 E
Caldwell, TX 77836
Mailing address
101 Hwy 21 East
Caldwell, TX 77836
Phone (979) 567-7001
Other providers in Caldwell, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.