Jennifer Dawn Elias, CIT5314

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

CIT-5314 Issued in LA

Practice address

4600 Reddix LN
Monroe, LA 71202-5949

Phone

(318) 582-4480

Fax

(318) 855-5084

NPI assigned

Jun 22, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1649849845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 PARK AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013339",
            "telephone_number": "318-372-1772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 REDDIX LN",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712025949",
            "telephone_number": "318-582-4480",
            "fax_number": "318-855-5084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIAS",
        "first_name": "JENNIFER",
        "middle_name": "DAWN",
        "credential": "CIT5314",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "CIT-5314",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": "CIT-5314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savannah Eleam
• Eleam'S Medical Transportation
• Eleams Medical Transportation LLC
• Amanda Blythe Elias, CCC-SLP
• Francis Donohoe Elias, M.D.
• Jennifer K Ellerbe, RN
• Renee Ellerbe
• Sherri Green Ellerman
• Betina Lavonne Elliott, FNP-C
• Jonathan Gregory Elliott, HIS

• Case Manager/Care Coordinator in Monroe, LA
• Providers in Monroe, LA by specialty
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.