Elevation Ep, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

ELEVATION EP, LLC

Practice address

201 Main Street
Suite 600
Ft. Worth, TX 76102-3105

Phone

(817) 270-0384

Fax

(817) 270-0384

NPI assigned

May 21, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Darlene Holder

Title

Owner

Phone

(817) 368-1980

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• De Anne Simon, CNIM

  • Electroneurodiagnostic Specialist/Technologist
  • Fort Worth, TX
  • NPI 1881230670
  NPD (past)

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526860800000",
    "number": "1740771211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MAIN STREET",
            "address_2": "SUITE 600",
            "city": "FT. WORTH",
            "state": "TX",
            "postal_code": "761023105",
            "telephone_number": "817-270-0384",
            "fax_number": "817-270-0384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MAIN STREET",
            "address_2": "SUITE 600",
            "city": "FT. WORTH",
            "state": "TX",
            "postal_code": "761023105",
            "telephone_number": "817-270-0384",
            "fax_number": "817-270-0384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATION EP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-21",
        "last_updated": "2018-05-21",
        "status": "A",
        "authorized_official_last_name": "HOLDER",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-368-1980",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Ft. Worth, TX
• Providers in Ft. Worth, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; 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.