Active NPI
Elena C Mejia, FNP, LAC
- Family Nurse Practitioner
- Walla Walla, WA
National Provider Identifier
1891840310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 093006358N1
- Practice address
- 30 W Main St Ste 202
Walla Walla, WA 99362-2872 - Phone
- (509) 526-6944
- NPI assigned
- Jan 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 156530 | OR | |
| Acupuncturist | 171100000X | AC60404698 | WA | |
| Family Nurse Practitioner | 363LF0000X | AP60403410 | WA | |
| Family Nurse Practitioner | 363LF0000X | 093006358N1 | OR | Primary |
Addresses
Primary practice location
30 W Main St Ste 202
Walla Walla, WA 99362-2872
Mailing address
3316 SE Stephens St
Portland, OR 97214-5055
Phone (503) 740-1686
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 |
|---|---|---|---|
| 156530 | OR | MD | Acupuncturist |
| AC60404698 | WA | MD | Acupuncturist |
| AP60403410 | WA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636934400000",
"number": "1891840310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3316 SE STEPHENS ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972145055",
"telephone_number": "503-740-1686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 W MAIN ST STE 202",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993622872",
"telephone_number": "509-526-6944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEJIA",
"first_name": "ELENA",
"middle_name": "C",
"credential": "FNP, LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-24",
"last_updated": "2021-11-15",
"certification_date": "2021-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "156530",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WA",
"license": "AC60404698",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP60403410",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "093006358N1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walla Walla, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.