Elise Noelle LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

ELISE NOELLE LLC

Practice address

142 Willow Glen CT
Henderson, NV 89074-0659

Phone

(779) 548-1418

NPI assigned

May 15, 2020

Last updated

Mar 3, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elise Noelle SterrittNPI 1851805295

Title

NP

Phone

(779) 548-1418

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elise Noelle Sterritt, NP

  • Family Nurse Practitioner
  • Henderson, NV
  • NPI 1851805295
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1589500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614729600000",
    "number": "1629690391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 WILLOW GLEN CT",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890740659",
            "telephone_number": "779-548-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 WILLOW GLEN CT",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890740659",
            "telephone_number": "779-548-1418"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3401 N Knox Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606413728",
            "country_code": "US",
            "telephone_number": "702-820-2514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELISE NOELLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-15",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A",
        "authorized_official_last_name": "STERRITT",
        "authorized_official_first_name": "ELISE",
        "authorized_official_middle_name": "NOELLE",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "779-548-1418"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Henderson, NV
• Providers in Henderson, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.