Elsen Cheruto Dalizu

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1114310 Issued in AL

Practice address

209 Double Oak Dr NW
Huntsville, AL 35806-1090

Phone

(256) 655-7503

NPI assigned

Jun 6, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• J M Geiss DO Apc

  • Family Medicine Physician
  • Santa Ana, CA
  • NPI 1063825289
  NPD
• Qofl Services LLC

  • Nurse Practitioner
  • Louisville, KY
  • NPI 1942554837
  NPD (past)

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338940800000",
    "number": "1912268905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 DOUBLE OAK DR NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358061090",
            "telephone_number": "256-655-7503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 DOUBLE OAK DR NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358061090",
            "telephone_number": "256-655-7503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALIZU",
        "first_name": "ELSEN",
        "middle_name": "CHERUTO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-06",
        "last_updated": "2012-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1114310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Dailey, DPT
• Sherman Dailey
• Denise Dale
• Alyssa A Daleiden, OTR/ L
• Justina Sue Daley
• Erika Dalton
• Melinda Marsha Damas
• Damon Brantley MD PC
• Dan M. Luther, D.M.D., P.C.
• Dan M. Luther, DMD, PC

• Nurse Practitioner in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.