Elite Family Practice LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

ELITE FAMILY PRACTICE LLC

Practice address

1900 W Wall St Ste B
Midland, TX 79701-6568

Phone

(432) 247-1309

Fax

(432) 247-1250

NPI assigned

Jun 16, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Erin Nicole Mann, FNPNPI 1639711401

Title

FNP/Owner

Phone

(432) 247-1309

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26711/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Erin Nicole Mann, APRN, FNP-C

  • Family Nurse Practitioner
  • Midland, TX
  • NPI 1639711401
  Medicare reassignment NPD Authorized official
• Leonardo Lozano

  • Family Nurse Practitioner
  • Midland, TX
  • NPI 1164298311
  NPD (past)

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655942400000",
    "number": "1629708151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 W WALL ST STE B",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797016568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 W WALL ST STE B",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797016568",
            "telephone_number": "432-247-1309",
            "fax_number": "432-247-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "FNP/OWNER",
        "authorized_official_telephone_number": "432-247-1309",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah York Edwards, DPT
• Kristi A Edwards, MA LPC
• Larry Edwards, MD
• Edwin Y Endo OD PLLC
• Chisom Ekwonnah
• Elite Safety Solutions PLLC
• Mark Ryan Elliott, PA
• Brandalyn Ellis
• Linda Gayle Ellis, LCSW
• Zachary Ellis, DDS

• Family Nurse Practitioner in Midland, TX
• Providers in Midland, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.