Active NPI
Patricia Jane Eller, CMF
- Customized Equipment (DME)
- Sanford, NC
National Provider Identifier
1629504386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- Practice address
- 106 Park Ave
Sanford, NC 27330-4027 - Phone
- (919) 775-2001
- Fax
- (919) 776-8122
- NPI assigned
- May 2, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | NC | Primary |
Addresses
Primary practice location
106 Park Ave
Sanford, NC 27330-4027
Mailing address
160 Starlight Dr
Lillington, NC 27546-7371
Phone (910) 658-7656
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493683200000",
"number": "1629504386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 STARLIGHT DR",
"city": "LILLINGTON",
"state": "NC",
"postal_code": "275467371",
"telephone_number": "910-658-7656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 PARK AVE",
"city": "SANFORD",
"state": "NC",
"postal_code": "273304027",
"telephone_number": "919-775-2001",
"fax_number": "919-776-8122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLER",
"first_name": "PATRICIA",
"middle_name": "JANE",
"credential": "CMF",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-02",
"last_updated": "2017-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sanford, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.