Elite Wellness & Aesthetics, PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

ELITE WELLNESS & AESTHETICS, PLLC

Practice address

6108 S 31St St
Fort Smith, AR 72908-7555

Phone

(479) 242-9355

NPI assigned

Dec 6, 2023

Organization subpart

No

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

Authorized official

Name

Amanda Michelle DayNPI 1558715987

Title

Owner

Phone

(479) 242-9355

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

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

• Amanda Day, APRN, FNP-C

  • Family Nurse Practitioner
  • Fort Smith, AR
  • NPI 1558715987
  Medicare reassignment Care Compare group NPD Authorized official
• Carrisa Suzette Patrick, APRN

  • Family Nurse Practitioner
  • Fort Smith, AR
  • NPI 1225516826

  Single Specialty

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1780451088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6108 S 31ST ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729087555",
            "telephone_number": "479-242-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6108 S 31ST ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729087555",
            "telephone_number": "479-242-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE WELLNESS & AESTHETICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-06",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "DAY",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-242-9355"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Dunn Elangwe, M.D.
• Jerad Dane Eldred, MD
• Elite 24 Health Group
• Elite Therapeutic Massage Center, LLC
• Elite Vision, PLC
• Lana Ann Elkins, M.ED.
• Drew Samuel Ellenwood, D.D.S.
• Barbara Ellington, M.D.
• Jaimi Elliott, MD
• Dawn M Ellis, LAC

• Family Nurse Practitioner in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.