Active NPI
Crystal Elliott, C.F.M.
- Specialist
- Monroe, NC
National Provider Identifier
1760504971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 701 E Roosevelt Blvd
Building 200 Suite B
Monroe, NC 28112-5170 - Phone
- (704) 291-2218
- Fax
- (704) 291-2241
- NPI assigned
- Apr 6, 2007
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
701 E Roosevelt Blvd
Building 200 Suite B
Monroe, NC 28112-5170
Mailing address
993 Braxton Dr
Concord, NC 28025-6824
Phone (704) 788-7764
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7795312 | Medicaid | NC | |
| 7702811 | Medicaid | NC |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1760504971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "993 BRAXTON DR",
"city": "CONCORD",
"state": "NC",
"postal_code": "280256824",
"telephone_number": "704-788-7764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 E ROOSEVELT BLVD",
"address_2": "BUILDING 200 SUITE B",
"city": "MONROE",
"state": "NC",
"postal_code": "281125170",
"telephone_number": "704-291-2218",
"fax_number": "704-291-2241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIOTT",
"first_name": "CRYSTAL",
"credential": "C.F.M.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-06",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7795312",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7702811",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Monroe, NC
- Eldad Non-Emergency Medical Transportation Co LLC
- Elite Care Services, Inc
- Elite Care Services, Inc.
- Elizabethan Gardens Assisted Living Center Inc.
- Ellen I Koski-Ponton
- Paul Jude Elminowski, D.C.
- Ava Elmore, RD, LDN
- Clarissa Anita Elmore
- Elnita Ottey & Associates Counseling and Consulting Services, PLLC
- Priscille Jean Elusme, LCSWA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.