Elite Telehealth Care LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

ELITE TELEHEALTH CARE LLC

Practice address

2907 Ridgeway Ave
Saint Louis, MO 63114-4546

Phone

(314) 938-4438

Fax

(314) 938-4434

NPI assigned

Oct 28, 2021

Organization subpart

No

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

Authorized official

Name

Elizabeth Johnson, FNP

Title

Owner

Phone

(314) 938-4438

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635379200000",
    "number": "1922762665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2907 RIDGEWAY AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631144546",
            "telephone_number": "314-938-4438",
            "fax_number": "314-938-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2907 RIDGEWAY AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631144546",
            "telephone_number": "314-938-4438",
            "fax_number": "314-938-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE TELEHEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-28",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-938-4438",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elite Medical Innovations
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• Elite Physical Therapy LLC
• Elite Psychiatric Services, LLC
• Elite Surgical Assisting LLC
• Elizabeth F. Pribor, M.D., P.C.
• Marinella Elizaga
• Santiago Elizondo Benedetto
• Eric Elizondo, MD
• Sydney Elizondo, MD

• Family Nurse Practitioner in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.