Elite Medaccess Inc

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

ELITE MEDACCESS INC

Practice address

5255 Longley LN Ste 140
Reno, NV 89511-5201

Phone

(559) 667-9666

NPI assigned

Jan 25, 2024

Last updated

Feb 8, 2024By 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

Walter Marting

Title

Authorized Official

Phone

(559) 667-9666

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1706140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707350400000",
    "number": "1669234605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5255 LONGLEY LN STE 140",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895115201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5255 LONGLEY LN STE 140",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895115201",
            "telephone_number": "559-667-9666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE MEDACCESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-25",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A",
        "authorized_official_last_name": "MARTING",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "559-667-9666"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.