Active NPI
Charissa Elton-Lacasse, NP-C
- Nurse Practitioner
- Mesquite, TX
National Provider Identifier
1891718771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 605266
- Practice address
- 3500 I-30 Box
Mesquite, TX 78185-1672 - Phone
- (972) 698-3300
- NPI assigned
- Jul 25, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 605266 | TX | Primary |
Addresses
Primary practice location
3500 I-30 Box
Mesquite, TX 78185-1672
Mailing address
843 Yellow Tavern CT
Grand Prairie, TX 75052-1648
Phone (214) 686-8564
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 605266 | Other | TX | NURSE PRACTITIONERS |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 605266 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ellis Emergency Physicians PLLC | Past | Accepting new patients | |
| Texas Em-1 Medical Services, PA | Past | Accepting new patients | |
| Dallas Emergency Physicians PLLC | Past | Accepting new patients | |
| Motley Emergency Physicians | Past | Accepting new patients | |
| Texas Em-1 Medical Services PA | Nurse Practitioner | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Dallas, TX
- NPI 1457301756
-
- Emergency Medicine Physician
- Waxahachie, TX
- NPI 1902856107
-
- Emergency Medicine Physician
- Mesquite, TX
- NPI 1972558401
-
- Emergency Medicine Physician
- Mesquite, TX
- NPI 1659446193
Nurse Practitioner
-
- Physician Assistant
- Mesquite, TX
- NPI 1295780757
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891718771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "843 YELLOW TAVERN CT",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750521648",
"telephone_number": "214-686-8564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 I-30 BOX",
"city": "MESQUITE",
"state": "TX",
"postal_code": "781851672",
"telephone_number": "972-698-3300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELTON-LACASSE",
"first_name": "CHARISSA",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "605266",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE PRACTITIONERS",
"identifier": "605266",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mesquite, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.