Active NPI
Jeanne A Elisha, FNP
- Nurse Practitioner
- Troy, NY
National Provider Identifier
1982926440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 331488
- Practice address
- 45 Ferry Street
Troy Ny Russell Sage College
Troy, NY 12180 - Phone
- (518) 244-2261
- Fax
- (518) 244-2262
- NPI assigned
- Feb 24, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 331488 | NY | Primary |
Addresses
Primary practice location
45 Ferry Street
Troy Ny Russell Sage College
Troy, NY 12180
Mailing address
45 Ferry Street
Russell Sage College Attention Wellness Center
Troy, NY 12180
Phone (518) 244-2261
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 331488 | NY | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266969600000",
"number": "1982926440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 FERRY STREET",
"address_2": "RUSSELL SAGE COLLEGE ATTENTION WELLNESS CENTER",
"city": "TROY",
"state": "NY",
"postal_code": "12180",
"telephone_number": "518-244-2261",
"fax_number": "518-244-2262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 FERRY STREET",
"address_2": "TROY NY RUSSELL SAGE COLLEGE",
"city": "TROY",
"state": "NY",
"postal_code": "12180",
"telephone_number": "518-244-2261",
"fax_number": "518-244-2262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELISHA",
"first_name": "JEANNE",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-24",
"last_updated": "2010-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "331488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.