Active NPI
Elliott James, ARNP
- Family Nurse Practitioner
- Lake Mary, FL
National Provider Identifier
1649778309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9349758
- Practice address
- 755 Strling Ctr PL
Lake Mary, FL 32746-5714 - Phone
- (407) 333-1718
- NPI assigned
- Jan 29, 2018
- Sex
- Male
- 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 Nurse Practitioner | 363LF0000X | ARNP9349758 | FL | Primary |
Addresses
Primary practice location
755 Strling Ctr PL
Lake Mary, FL 32746-5714
Mailing address
804 W Yale St
Orlando, FL 32804-5243
Phone (407) 718-8384
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9349758 | FL | MD | Family Nurse Practitioner |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/OOz5hkiC68x4B2tV8TWG2SVCrgoGQtPF/
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517184000000",
"number": "1649778309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 W YALE ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328045243",
"telephone_number": "407-718-8384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 STRLING CTR PL",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327465714",
"telephone_number": "407-333-1718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMES",
"first_name": "ELLIOTT",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-29",
"last_updated": "2018-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9349758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Mary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.