NPIMap

Organization Active NPI

Elite Urgent Care and Family Health, LLC

  • Family Nurse Practitioner
  • Scottsbluff, NE
National Provider Identifier
1861973711
Registry record updated Nov 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
111555 Issued in NE
Legal business name
ELITE URGENT CARE AND FAMILY HEALTH, LLC
Practice address
820 W 42ND St Ste 2300
Scottsbluff, NE 69361-5016
Phone
(308) 672-0991
Fax
(904) 479-9575
NPI assigned
Aug 28, 2018
Last updated
Nov 8, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2018

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

Authorized official

Name
Alicia Gonzales-Longoria, NPNPI 1215379748
Title
Owner
Phone
(308) 633-6202

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 111555 NE Primary

Addresses

Primary practice location

820 W 42ND St Ste 2300
Scottsbluff, NE 69361-5016

Mailing address

820 W 42ND St Ste 2300
Scottsbluff, NE 69361-5016
Phone (308) 633-6202

Other practice location 1

820 W 42nd St Ste 2300
Scottsbluff, NE 69361-5016
Phone (308) 633-6202

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541635200000",
    "number": "1861973711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 W 42ND ST STE 2300",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693615016",
            "telephone_number": "308-633-6202",
            "fax_number": "308-633-6203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 W 42ND ST STE 2300",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693615016",
            "telephone_number": "308-672-0991",
            "fax_number": "904-479-9575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "820 W 42nd St Ste 2300",
            "address_purpose": "LOCATION",
            "city": "Scottsbluff",
            "state": "NE",
            "postal_code": "693615016",
            "country_code": "US",
            "telephone_number": "308-633-6202",
            "fax_number": "308-633-6203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELITE URGENT CARE AND FAMILY HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-28",
        "last_updated": "2018-11-08",
        "status": "A",
        "authorized_official_last_name": "GONZALES-LONGORIA",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "308-633-6202",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "111555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsbluff, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; 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.