Active NPI
Karen Elliott, NNP
- Critical Care Neonatal Nurse Practitioner
- Richardson, TX
National Provider Identifier
1740242544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Neonatal Nurse Practitioner
- License
- 502066
- Practice address
- 3001 E President George Bush Hwy
Richardson, TX 75082-3542 - Phone
- (214) 343-6663
- NPI assigned
- Apr 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | 502066 | TX | Primary |
Addresses
Primary practice location
3001 E President George Bush Hwy
Richardson, TX 75082-3542
Mailing address
3001 E President George Bush Hwy
Richardson, TX 75082-3542
Phone (214) 343-6663
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 502066 | Other | TX | RN |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 502066 | TX | MD | Critical Care Neonatal Nurse Practitioner |
Interoperability endpoints
- dmckellio@yourcarecommunity.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740242544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 E PRESIDENT GEORGE BUSH HWY",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750823542",
"telephone_number": "214-343-6663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 E PRESIDENT GEORGE BUSH HWY",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750823542",
"telephone_number": "214-343-6663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIOTT",
"first_name": "KAREN",
"name_prefix": "Mrs.",
"credential": "NNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0005X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal, Critical Care",
"state": "TX",
"license": "502066",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN",
"identifier": "502066",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.