Elisa Marie Dennis

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Practice address

116 Larch St FL 3
Scranton, PA 18509-2802

Phone

(570) 489-5561

NPI assigned

Apr 16, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Elisa Marie Damiani Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1713225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1689428484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 MAIN ST",
            "city": "DICKSON CITY",
            "state": "PA",
            "postal_code": "185191525",
            "telephone_number": "570-766-1043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 LARCH ST FL 3",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185092802",
            "telephone_number": "570-489-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "ELISA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-16",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISA",
            "last_name": "DAMIANI",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lisa A Denaples, D.M.D.
• Louis Denaples, M.D., FACEP
• Vijaya Sena Reddy Dendi, M.D.,
• Jing Deng, M.D.
• Leonard J Denis, M.D.
• Teara Tejas Deonarine
• Department of Military Affairs Commonwealth of Pennsylvania
• Department of Military Commonwealth of Pennsylvania
• Shailja Desai, DMD
• Shivang Desai, M.D.

• Early Intervention Provider Agency in Scranton, PA
• Providers in Scranton, PA by specialty
• Early Intervention Provider Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.