Caroline Etok Elad, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

5379421111 Issued in KS

Practice address

2051 E Mary St
Garden City, KS 67846-3617

Phone

(620) 275-3777

Fax

(620) 275-3074

NPI assigned

Jun 11, 2020

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Long Term Health Careline CorpGroup PAC ID 2264882950, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations (25 of 42)

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Long Term Health Careline Corp

  • Internal Medicine Physician
  • Arlington, TX
  • NPI 1588378830
  Medicare reassignment Care Compare group NPD
• Hni Physician Services of Texas, Inc

  • Internal Medicine Physician
  • Austin, TX
  • NPI 1538729744

  Nurse Practitioner

  Medicare reassignment NPD
• Infinite Medical PC

  • Family Medicine Physician
  • Bristol, RI
  • NPI 1407483175

  Nurse Practitioner, TX

  Medicare reassignment NPD
• LTHC Solutions LLC

  • Internal Medicine Physician
  • Arlington, TX
  • NPI 1194182543
  Medicare reassignment NPD

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1700401163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 E MARY ST",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678463617",
            "telephone_number": "620-275-3777",
            "fax_number": "620-275-3074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 E MARY ST",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678463617",
            "telephone_number": "620-275-3777",
            "fax_number": "620-275-3074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELAD",
        "first_name": "CAROLINE",
        "middle_name": "ETOK",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-11",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "79421",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KS",
            "license": "5379421111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• E. Grant Larkin, D.D.S.. P.a.
• Eaglemed LLC
• Eaglemed LLC
• Paola Echeverria-Hernandez
• Ekm Family Center P.a
• Dora Ellis, LSCSW
• Polly Elpers, APRN
• Melinda D Engel, OTD
• Joel T Erskin, SCD PA
• James B. Etling, DDS

• Adult Health Nurse Practitioner in Garden City, KS
• Providers in Garden City, KS by specialty
• Adult Health Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.