Elite Medical Credentialing & Consulting Services

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

B566406 Issued in TX

Legal business name

ELITE MEDICAL CREDENTIALING & CONSULTING SERVICES

Practice address

1411 Cherry Springs CT
Missouri City, TX 77459-3469

Phone

(281) 753-6936

Fax

(281) 753-6936

NPI assigned

Sep 29, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Lita Michele Willis

Title

Owner/Senior Service Representative

Phone

(281) 753-6936

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1506643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506643200000",
    "number": "1780193045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 57712",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775987712",
            "telephone_number": "281-753-6936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 CHERRY SPRINGS CT",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774593469",
            "telephone_number": "281-753-6936",
            "fax_number": "281-753-6936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE MEDICAL CREDENTIALING & CONSULTING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-29",
        "last_updated": "2017-09-29",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "LITA",
        "authorized_official_middle_name": "MICHELE",
        "authorized_official_title_or_position": "OWNER/SENIOR SERVICE REPRESENTATIVE",
        "authorized_official_telephone_number": "281-753-6936",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "TX",
            "license": "B566406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melody Eleweanya
• Remy Rene Elias
• Elissa R Wedemeyer
• Elissa R Wedemeyer OD PLLC
• Elite Footcare of Texas Inc.
• Elite Pharmacy Services, LLC
• Elite RX Compounding and Pharmacy LLC
• Elite Transportation Services
• Carolyn Maria Elliott, M.S., CCC-SLP
• Fatima Ellis-Otoo

• Exclusive Provider Organization in Missouri City, TX
• Providers in Missouri City, TX by specialty
• Exclusive Provider Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2017; 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.