Active NPI
Natasha Elliott
- Community Health Worker
- Chattanooga, TN
National Provider Identifier
1922542158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 071587
- Practice address
- 2804 Cannon Ave
Chattanooga, TN 37404 - Phone
- (706) 965-3062
- NPI assigned
- Dec 7, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 071587 | TN | Primary |
Addresses
Primary practice location
2804 Cannon Ave
Chattanooga, TN 37404
Mailing address
22 Iris LN
Ringgold, GA 30736-7682
Phone (706) 965-3062
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071587 | TN | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481068800000",
"number": "1922542158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 IRIS LN",
"city": "RINGGOLD",
"state": "GA",
"postal_code": "307367682",
"telephone_number": "706-965-3062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2804 CANNON AVE",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "37404",
"telephone_number": "706-965-3062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIOTT",
"first_name": "NATASHA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-07",
"last_updated": "2016-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "TN",
"license": "071587",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.