JEFFERY D ELLIOTT (NPI# 1679656847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679656847 |
| Entity Type | Individual |
| Full Name | JEFFERY D ELLIOTT |
| Credential | NP |
| Practice Address |
1551 Bishop St Suite110/160 San Luis Obispo CA 93401-4635 |
| Mailing Address |
2050 S Blosser Rd Santa Maria CA 93458-7310 |
| Practice Telephone | 8055426729 |
| Practice Fax Number | 8052691597 |
| Mailing Telephone | 8053618028 |
| Mailing Fax Number | 8053618097 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2015-06-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
12502 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NURSE PRACTITIONER | 12502 | 01 |
| CA | REGISTERED NURSE | 384948 | 01 |
| CA | ANCC APRN- BC (PSYCH) | 20005000564-34 | 01 |
| OK | REGISTERED NURSE | R0052489 | 01 |
| AK | REGISTERED NURSE | 24836 | 01 |
| AK | ADVANCED NP | 866 | 01 |
| CA | PUBLIC HEALTH NURSE | 57311 | 01 |
| CA | TELECARE, DEA (SCHEDULE 2-5) | ME 1624089 | 01 |
| CA | DEA (SCHEDULE 2-5) | ME0854489 | 01 |
| CA | NP FURNISHING | 12502 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780766592 | Jeffery Dale Elliott | Optometrist | 1139 North Hills Centre, Ada, OK 74820 | 2006-10-20 |
| 1518512151 | Jeffery Elliott | Behavioral Analyst | 5 Revere Dr Ste 120, Northbrook, IL 60062-8005 | 2019-08-08 |
| Street Address |
1551 BISHOP ST SUITE110/160 |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip Code | 93401-4635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801897012 | Mick Scott Meiselman | Internal Medicine | 1551 Bishop St, Suite 230, San Luis Obispo, CA 93401-4635 | 2005-08-10 |
| 1285186106 | Mick S. Meiselman, M.d., Professional Corporation | Internal Medicine | 1551 Bishop St, Suite 230, San Luis Obispo, CA 93401-4635 | 2016-10-26 |
| 1295110674 | Balance Treatment Slo, Inc | Clinic/Center | 1551 Bishop St, Ste 130a, San Luis Obispo, CA 93401-4635 | 2015-07-27 |
| 1295148492 | Sarah Van Camp | Pediatrics | 1551 Bishop St, San Luis Obispo, CA 93401-4635 | 2014-06-04 |
| 1629321849 | Karen Ann Fong Md | Pediatrics | 1551 Bishop St, Suite 310, San Luis Obispo, CA 93401-4635 | 2012-10-25 |
| 1356693683 | Michael S Mcconnell | Registered Nurse | 1551 Bishop St, A160, San Luis Obispo, CA 93401-4635 | 2012-10-10 |
| 1396025094 | Kelsey Ann Kehoe | Marriage & Family Therapist | 1551 Bishop St, Suite 510- E, San Luis Obispo, CA 93401-4635 | 2011-08-25 |
| 1992002182 | Allergy Partners of California, Inc. | Allergy & Immunology | 1551 Bishop St, Suite 520, San Luis Obispo, CA 93401-4635 | 2011-02-24 |
| 1962716316 | Julie Jensen Kean | Advanced Practice Midwife | 1551 Bishop St, C310, San Luis Obispo, CA 93401-4635 | 2010-07-27 |
| 1154576239 | Brandon James Slade | Podiatrist | 1551 Bishop St, San Luis Obispo, CA 93401-4635 | 2008-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497228399 | Barbara Jean Morrow | Dental Hygienist | 2191 Johnson Avenue, San Luis Obispo, CA 93401 | 2019-01-03 |
| 1104307743 | Griffith Jennings | Counselor | 1225 Kendal Rd, San Luis Obispo, CA 93401 | 2018-08-22 |
| 1124518808 | Joy L Delaluna | Licensed Psychiatric Technician | 692 Evens Rd, San Luis Obispo, CA 93401 | 2018-05-17 |
| 1982192084 | Sierra Mental Wellness Group | Community/Behavioral Health | 2180 B Johnson Avenue, San Luis Obispo, CA 93401 | 2018-04-25 |
| 1326554403 | Veronica Chanel Laguna | Case Manager/Care Coordinator | 1065 Kansas Ave., San Luis Obispo, CA 93401 | 2017-12-27 |
| 1043739782 | Janette Lynn Branca | Case Manager/Care Coordinator | 285 South Street, Suit J, San Louis Obispo, CA 93401 | 2017-09-13 |
| 1588194104 | Adv Vision LLC | Optometrist | 835 Aero Vista Pl, #110, San Luis Obispo, CA 93401 | 2017-06-15 |
| 1508395880 | Samantha Clay | Counselor | 1255 Kendall Road, San Luis Obispo, CA 93401 | 2017-06-08 |
| 1659804771 | Sara Anne Powers | Counselor | 697 Higuera Street D, San Luis Obispo, CA 93401 | 2017-04-05 |
| 1508306010 | Russell Piazza | Pharmacist | 873 Ricardo Court, San Luis Obispo, CA 93401 | 2017-03-02 |
| Find all providers in zip 93401 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699281626 | Gabriela S. Garshelis, Np, Inc. | Nurse Practitioner | 1461 Higuera St Ste D, San Luis Obispo, CA 93401-2948 | 2017-12-28 |
| 1255753307 | Karen Jean Holdrege | Nurse Practitioner | 1035 Peach St Ste 201, San Luis Obispo, CA 93401-2700 | 2014-01-09 |
| 1902181480 | Deborah Lynn Holzman | Nurse Practitioner | 1042 Pacific St Ste E, San Luis Obispo, CA 93401-3659 | 2011-10-17 |
| 1407972706 | Patrice Andrea Lalonde | Nurse Practitioner | 2180 Johnson Street, San Luis Obispo, CA 93408-6041 | 2007-03-21 |
| 1699112698 | Central Coast Behavioral Health, Inc. | Nurse Practitioner | 1035 Peach Street, Suite 201, San Luis Obispo, CA 93401 | 2013-05-30 |
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| 1477167666 | David Joseph Russell | Nurse Practitioner | 17846 Glenwood Rd, Manteca, CA 95336-9521 | 2020-09-03 |
| 1194339382 | Albert Liu | Nurse Practitioner | 43559 Southerland Way, Fremont, CA 94539-5931 | 2020-09-03 |
| 1407469554 | Andre Alexandrian | Nurse Practitioner | 1606 Winona Ave, Burbank, CA 91504-2823 | 2020-08-28 |
| 1790398238 | Heather Richardson | Nurse Practitioner | 112 S Park St Ste 1, San Francisco, CA 94107-1809 | 2020-08-25 |
| Find all providers with the same taxonomy | ||||
| City | SAN LUIS OBISPO |
| Zip Code | 93401 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.