Active NPI
Eligado L Eligado, SA
- Medical-Surgical Clinical Nurse Specialist
- Rowlett, TX
National Provider Identifier
1881030047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical-Surgical Clinical Nurse Specialist
- License
- 13163
- Practice address
- 1901 Miller Rd
Rowlett, TX 75088-5604 - Phone
- (214) 227-2457
- Fax
- (214) 764-0880
- NPI assigned
- May 15, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical-Surgical Clinical Nurse Specialist | 364SM0705X | 13163 | MD | Primary |
Addresses
Primary practice location
1901 Miller Rd
Rowlett, TX 75088-5604
Mailing address
1901 Miller Rd
Rowlett, TX 75088-5604
Phone (214) 227-2457
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13163 | MD | MD | Medical-Surgical Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368576000000",
"number": "1881030047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 MILLER RD",
"city": "ROWLETT",
"state": "TX",
"postal_code": "750885604",
"telephone_number": "214-227-2457",
"fax_number": "214-764-0880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 MILLER RD",
"city": "ROWLETT",
"state": "TX",
"postal_code": "750885604",
"telephone_number": "214-227-2457",
"fax_number": "214-764-0880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELIGADO",
"first_name": "ELIGADO",
"middle_name": "L",
"credential": "SA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-15",
"last_updated": "2013-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "364SM0705X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Medical-Surgical",
"state": "MD",
"license": "13163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rowlett, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.