Patricia Beth Elliott, NP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

15867 Issued in TN

Practice address

804 Keylon Street
Manchester, TN 37355

Phone

(931) 728-5522

Fax

(931) 728-2247

NPI assigned

Jul 8, 2011

Last updated

Jul 8, 2011By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. David G. Florence

  dba Medical Enterprises

  • Family Medicine Physician
  • Manchester, TN
  • NPI 1235315946
  NPD (past)
• Mid- TN Therapeutic Clinic

  • Orthopaedic Surgery Physician
  • Murfreesboro, TN
  • NPI 1598021784
  NPD (past)

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

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310083200000",
    "number": "1912294117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 KEYLON STREET",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "37355",
            "telephone_number": "931-728-5522",
            "fax_number": "931-728-2247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 KEYLON STREET",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "37355",
            "telephone_number": "931-728-5522",
            "fax_number": "931-728-2247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "PATRICIA",
        "middle_name": "BETH",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-08",
        "last_updated": "2011-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "15867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3306758",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Phillip Duncan, DDS
• Evan Patrick Dyer, PA-C
• Efc-MHC, LLC
• Kristen Lovelady Elam, FNP
• Elite Quality Care, Inc (McArthur Manor Assisted Living)
• Juan Pablo Estrada
• Extended Family Care LLC
• Extended Family Care LLC
• Nathan Eylander
• F&B Enterprises, LLC (Manchester Pain Center)

• Adult Health Nurse Practitioner in Manchester, TN
• Providers in Manchester, TN by specialty
• Adult Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.