Individual provider Active NPI

Elicia M. Adeva

  • Registered Nurse
  • Chillicothe, OH
National Provider Identifier
1811217771
Registry record updated Jun 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN306844 Issued in OH
Practice address
2847 Mingo Rd
Chillicothe, OH 45601-8762
Phone
(740) 626-2980
NPI assigned
Jun 2, 2010
Last updated
Jun 2, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN306844 OH Primary

Addresses

Primary practice location

2847 Mingo Rd
Chillicothe, OH 45601-8762

Mailing address

2847 Mingo Rd
Chillicothe, OH 45601-8762
Phone (740) 626-2980

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

State licenses

LicenseStateTypeSpecialty
RN306844OHMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1275436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275436800000",
    "number": "1811217771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2847 MINGO RD",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456018762",
            "telephone_number": "740-626-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2847 MINGO RD",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456018762",
            "telephone_number": "740-626-2980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEVA",
        "first_name": "ELICIA",
        "middle_name": "M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-02",
        "last_updated": "2010-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN306844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chillicothe, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2010; 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.