Active NPI
Debra R Elliott, PA-C
- Physician Assistant
- Rosenberg, TX
National Provider Identifier
1912244419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 2520 BF Terry Blvd.
FM 2218
Rosenberg, TX 77471 - Phone
- (281) 342-6006
- Fax
- (281) 239-7554
- NPI assigned
- Jan 4, 2013
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | TX | Primary |
Addresses
Primary practice location
2520 BF Terry Blvd.
FM 2218
Rosenberg, TX 77471
Mailing address
2520 BF Terry Blvd.
FM 2218
Rosenberg, TX 77471
Phone (281) 342-6006
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 320991801 | Medicaid | TX | |
| 8409NA | Other | TX | BC/BS # |
Other names 1
- Debra R Elliott
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003891 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Healthcare Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
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- NPI 1376624940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383523200000",
"number": "1912244419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2520 BF TERRY BLVD.",
"address_2": "FM 2218",
"city": "ROSENBERG",
"state": "TX",
"postal_code": "77471",
"telephone_number": "281-342-6006",
"fax_number": "281-239-7554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2520 BF TERRY BLVD.",
"address_2": "FM 2218",
"city": "ROSENBERG",
"state": "TX",
"postal_code": "77471",
"telephone_number": "281-342-6006",
"fax_number": "281-239-7554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIOTT",
"first_name": "DEBRA",
"middle_name": "R",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-04",
"last_updated": "2013-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "320991801",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS #",
"identifier": "8409NA",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DEBRA",
"last_name": "ELLIOTT",
"middle_name": "R",
"credential": "PA-C",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Rosenberg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.