Elisan Lautt Fitch, BSN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

569410 Issued in CA

Practice address

351 Hartnell Ave
Redding, CA 96002-1845

Phone

(530) 247-7910

NPI assigned

Oct 30, 2015

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 names 1

• Elisan Lautt Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing

State licenses

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446163200000",
    "number": "1922470855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 HARTNELL AVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021845",
            "telephone_number": "530-247-7910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 HARTNELL AVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021845",
            "telephone_number": "530-247-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITCH",
        "first_name": "ELISAN",
        "middle_name": "LAUTT",
        "credential": "BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-30",
        "last_updated": "2015-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "CA",
            "license": "569410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISAN",
            "last_name": "LAUTT",
            "credential": "BSN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mark Stephen Fisher, M.P.T
• Raenna Fisher
• Veronica Fisher, BSW
• Fit Physical Therapy, Inc
• Alexis Fitch
• Julie Eldredge Fitzgerald, PA-C
• Andrew J Flahgrty
• Marilyn Yvonne Flanigan
• Shawnna Flanigan
• Lois R Fleming, DPM

• All providers in Redding, CA
• Home Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; 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.