Linda Elisca, COSMETOLOGY

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Practice address

28441 S Tamiami TRL Ste 108
Bonita Springs, FL 34134-3213

Phone

(239) 319-0942

NPI assigned

Sep 15, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lelite Hair and More Beauty Studio LLC

  • Prosthetic/Orthotic Supplier
  • Bonita Springs, FL
  • NPI 1013621465
  NPD Authorized official

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1962124982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28441 S TAMIAMI TRL STE 108",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341343213",
            "telephone_number": "239-319-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28441 S TAMIAMI TRL STE 108",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341343213",
            "telephone_number": "239-319-0942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELISCA",
        "first_name": "LINDA",
        "name_prefix": "Mrs.",
        "credential": "COSMETOLOGY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-15",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "endpointDescription": "N/A",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "N/A",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "28441 S Tamiami Trl Ste 108",
            "city": "Bonita Springs",
            "state": "FL",
            "country_code": "US",
            "postal_code": "341343213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amy Gartland Egan, M.D.
• Sage Ehresman, DC
• Katherine Eisberg, DDS
• Jessica El Khoury
• Elise El-Kayem
• Elliott Concierge Physical Therapy LLC
• Matthew Elliott, DPT
• Katelyn Emhoff, PHARMD
• Endocrinology Institute of South FL LLC
• Engle Dentistry Bonita LLC

• Prosthetic/Orthotic Supplier in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Prosthetic/Orthotic Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.