Elite Healthcare Medical Group, PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

ELITE HEALTHCARE MEDICAL GROUP, PLLC

Doing business as

Emerald City Medical Arts

Practice address

16 Roy St
Seattle, WA 98109-4018

Phone

(206) 281-1616

Fax

(206) 282-7371

NPI assigned

Feb 20, 2017

Organization subpart

No

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

Authorized official

Name

Walter Hansen

Title

Office Manager

Phone

(206) 281-1616

Specialties & licenses 1

Addresses

Other names 1

• Emerald City Medical Arts Doing business as

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

{
    "created_epoch": "1487548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490054400000",
    "number": "1881133189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 ROY ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981094018",
            "telephone_number": "206-281-1616",
            "fax_number": "206-282-7371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 ROY ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981094018",
            "telephone_number": "206-281-1616",
            "fax_number": "206-282-7371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE HEALTHCARE MEDICAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-20",
        "last_updated": "2017-03-21",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "206-281-1616"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emerald City Medical Arts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fadumo Ahmed Elim, PHARM TECH
• Edith Elion, MSW
• Nicole Elise, DNP, ARNP
• David Miles Elison, M.D.
• Elite Care Northwest Corporation (Senior Advocacy Specialists)
• Elizabeth F. Chiulli DDS, PLLC
• Elizabeth Jordan MD PLLC
• Elizabeth Rogers Pilates & Physical Therapy, PLLC
• Shelby Marie Elizaga, ARNP, DNP
• Ethan Michael Elizondo, DDS

• Family Nurse Practitioner in Seattle, WA
• Providers in Seattle, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.