Active NPI
Elite Health and Wellness LLC
- Nurse Practitioner
- Kearney, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- ELITE HEALTH AND WELLNESS LLC
- Practice address
- 4715 2ND Ave
Kearney, NE 68847-2463 - Phone
- (308) 455-1500
- Fax
- (308) 455-1502
- NPI assigned
- Jan 5, 2021
- Last updated
- Jan 5, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Erin Stickney, NP
- Title
- Chief Executive Officer
- Phone
- (308) 455-1500
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
4715 2ND Ave
Kearney, NE 68847-2463
Mailing address
2401 E Ave Unit 3077
Kearney, NE 68848-0347
Phone (308) 455-1500
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | office@elitekearney.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 28D2214014 | Elite Health and Wellness LLC | Certificate of waiver | Feb 17, 2027 |
National Provider Directory
National Provider DirectoryLocations
4715 2nd Ave
Kearney, NE 68847
Phone (308) 455-1500
2401 E Ave
Unit 3077
Kearney, NE 68848
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Nurse Practitioner
- Kearney, NE
- NPI 1861775421
-
- Nurse Practitioner
- Kearney, NE
- NPI 1225562614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609804800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1609804800000",
"number": "1881282937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 E AVE UNIT 3077",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688480347",
"telephone_number": "308-455-1500",
"fax_number": "308-455-1502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4715 2ND AVE",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688472463",
"telephone_number": "308-455-1500",
"fax_number": "308-455-1502"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELITE HEALTH AND WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-05",
"last_updated": "2021-01-05",
"certification_date": "2021-01-05",
"status": "A",
"authorized_official_last_name": "STICKNEY",
"authorized_official_first_name": "ERIN",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "308-455-1500",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "office@elitekearney.com",
"affiliation": "N",
"endpointDescription": "Office Email",
"address_1": "4715 2nd Ave",
"city": "Kearney",
"state": "NE",
"country_code": "US",
"postal_code": "688472463",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kearney, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; 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.