Individual provider Active NPI

Marian D Elder, RN,MSN,APRN

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Atlanta, GA
National Provider Identifier
1710918917
Registry record updated Jul 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
RN155777 Issued in GA
Practice address
480 John Wesley Dobbs Ave NE
Unit 413
Atlanta, GA 30312-5324
Phone
(678) 595-6242
NPI assigned
Jul 5, 2006
Last updated
Jul 9, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2009

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X RN155777 GA Primary
Registered Nurse 163W00000X RN155777 GA
Case Management Registered Nurse 163WC0400X RN155777 GA
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X RN1577 GA

Addresses

Primary practice location

480 John Wesley Dobbs Ave NE
Unit 413
Atlanta, GA 30312-5324

Mailing address

PO Box 33244
Decatur, GA 30033-0244
Phone (770) 413-9364

Other names 1

  • Ms. Dee Elder Other name

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
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN155777GAMDRegistered Nurse
RN1577GAMDAdult Psychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247097600000",
    "number": "1710918917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33244",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300330244",
            "telephone_number": "770-413-9364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 JOHN WESLEY DOBBS AVE NE",
            "address_2": "UNIT 413",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303125324",
            "telephone_number": "678-595-6242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDER",
        "first_name": "MARIAN",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "RN,MSN,APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2009-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "GA",
            "license": "RN155777",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN155777",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "GA",
            "license": "RN155777",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "GA",
            "license": "RN1577",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEE",
            "last_name": "ELDER",
            "prefix": "MS.",
            "credential": "RN,MSN,APRN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; 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.