Myisha Antoinette Elliott

Primary specialty

Social WorkerTaxonomy code 104100000X

License

12845 Issued in KS

Practice address

2501 E Central Ave Ste 2
Wichita, KS 67214-3344

Phone

(316) 807-6879

NPI assigned

Aug 23, 2021

Last updated

Mar 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1780350397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 E CENTRAL AVE STE 2",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143344",
            "telephone_number": "316-807-6879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 E CENTRAL AVE STE 2",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143344",
            "telephone_number": "316-807-6879"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5500 E Kellogg Dr",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672181607",
            "country_code": "US",
            "telephone_number": "316-685-2221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "MYISHA",
        "middle_name": "ANTOINETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-23",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "12151-T",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "12845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "melliott@hopenetwichita.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2501 E Central Ave Ste 2",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672143344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kyle Ellingsen, MD
• Ashly J Elliott, CCC-SLP
• Heidi Louise Elliott, LPC
• Lahna R Elliott, P.A.-C.
• Megan A. Elliott, LMSW
• Sarah Elliott, OT
• Ellis Medical Supply Inc
• Cynthia C Ellis-Stoll, ARNP
• Joshua Ellis, PA-C
• Lauren Ellis

• Social Worker in Wichita, KS
• Providers in Wichita, KS by specialty
• Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.