Active NPI
Elijah Fletcher III, ATC
- Health Educator
- Leesburg, FL
National Provider Identifier
1962475137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Practice address
- 700 N Palmetto St
Leesburg, FL 34748-4419 - Phone
- (352) 323-6642
- Fax
- (352) 323-5039
- NPI assigned
- Feb 8, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Health Educator | 174H00000X | Primary |
Addresses
Primary practice location
700 N Palmetto St
Leesburg, FL 34748-4419
Mailing address
835 Ashworth Overlook Dr
Apopka, FL 32712-3350
Phone (305) 301-7461
Other practice location 1
835 Ashworth Overlook Dr
Apopka, FL 32712-3350
Phone (305) 301-7461
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525132800000",
"number": "1962475137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "835 ASHWORTH OVERLOOK DR",
"city": "APOPKA",
"state": "FL",
"postal_code": "327123350",
"telephone_number": "305-301-7461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 N PALMETTO ST",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347484419",
"telephone_number": "352-323-6642",
"fax_number": "352-323-5039"
}
],
"practiceLocations": [
{
"address_1": "835 Ashworth Overlook Dr",
"address_purpose": "LOCATION",
"city": "Apopka",
"state": "FL",
"postal_code": "327123350",
"country_code": "US",
"telephone_number": "305-301-7461",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLETCHER III",
"first_name": "ELIJAH",
"name_prefix": "Mr.",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-08",
"last_updated": "2018-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leesburg, FL
- First Step Therapy LLC
- Hamilton R Fish, MD
- Shasta Fisher, COTA/L
- Craig Fishman, M.D.
- Cindy Wolf Flack, MD
- Florida Cancer Specialists & Research Institute, LLC
- Florida Cancer Specialists & Research Institute, LLC
- Florida Cancer Specialists & Research Institute, LLC
- Florida Cancer Specialists & Research Institute, LLC
- Florida Cardiovascular Specialists LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.