ALICIA ANN ELLIOTT (NPI# 1699071100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699071100 |
| Entity Type | Individual |
| Full Name | ALICIA ANN ELLIOTT |
| Credential | CNS |
| Practice Address |
1720 Beacon St Fort Wayne IN 46805-4749 |
| Mailing Address |
1234 E Dupont Rd Suit 1 Fort Wayne IN 46825-1545 |
| Practice Telephone | 2603738000 |
| Practice Fax Number | 2603738034 |
| Mailing Telephone | 2603739700 |
| Mailing Fax Number | 2603739740 |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2013-03-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
71003708A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM | 000000730490 | 01 |
| IN | 201033980 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962949693 | Alicia Natoria Elliott | Home Health Aide | 129 Ivanhoe St Sw Apt 101, Washington, DC 20032-1026 | 2017-01-19 |
| 1588044432 | Alicia Lynn Elliott | Psychiatry & Neurology | 1301 8th St S, Moorhead, MN 56560-3604 | 2015-06-05 |
| 1750798914 | Alicia Elliott | Counselor | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2014-07-18 |
| 1740547801 | Alicia M Elliott | Counselor | 6380 Lbj Fwy Ste 299, Dallas, TX 75240-6439 | 2012-04-13 |
| Street Address |
1720 BEACON ST |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46805-4749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164401063 | Gladys A. Beale | Psychiatry & Neurology | 1720 Beacon St, Fort Wayne, IN 46805-4749 | 2006-01-10 |
| 1902432206 | Amy Silvers | Social Worker | 1720 Beacon St, Fort Wayne, IN 46805-4749 | 2020-03-18 |
| 1306472600 | Leah Ellen Hall | Counselor | 1720 Beacon St, Fort Wayne, IN 46805-4749 | 2020-03-18 |
| 1518425099 | Josie Jean Dean | Registered Nurse | 1720 Beacon St, Fort Wayne, IN 46805-4749 | 2019-03-04 |
| 1407342769 | Thomas Robert Smith | Pharmacist | 1720 Beacon St, Fort Wayne, IN 46805-4749 | 2018-07-10 |
| 1881148666 | Jacqueline Brandy Vedder | Marriage & Family Therapist | 1720 Beacon St, Fort Wayne, IN 46805 | 2016-08-09 |
| 1003369273 | Nicholas Todoran | Social Worker | 1720 Beacon St, Fort Wayne, IN 46805-4749 | 2016-07-25 |
| 1093168718 | Melinda Davis | Social Worker | 1720 Beacon St, Fort Wayne, IN 46805-4749 | 2016-07-18 |
| 1265880074 | Shawn Fingerle | Social Worker | 1720 Beacon St, Fort Wayne, IN 46805-4749 | 2016-06-02 |
| 1821459371 | Alexis Makridakis | Physician Assistant | 1720 Beacon St, Fort Wayne, IN 46805-4749 | 2016-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619589546 | Connor Gemlick | Student in an Organized Health Care Education/Training Program | 1918 Carew St., Fort Wayne, IN 46805 | 2020-08-21 |
| 1710464086 | S.t.a.r. Care Services | Clinic/Center | 3521 Lake Avenue, Suite #4, Fort Wayne, IN 46805 | 2018-07-19 |
| 1083122865 | Noel Shafi | Counselor | 3010 East State Boulevard, Fort Wayne, IN 46805 | 2018-01-16 |
| 1063963627 | Toni L Irby | Specialist | 3219 E State Blvd, Fort Wayne, IN 46805 | 2016-10-19 |
| 1639626211 | Logan Schwerer | Pharmacist | 923 Northcrest Business Center 6d, Fort Wayne, IN 46805 | 2016-09-01 |
| 1063817104 | Michale Diane Rothgeb | Physical Therapy Assistant | 2200 Randollia Dr, Fort Wayne, IN 46805 | 2014-10-31 |
| 1124435789 | Julia I. Mcfann | Physical Therapist | 2200 Randalia Dr, Fort Wayne, IN 46805 | 2014-07-16 |
| 1083036974 | Capital Senior Living Properties 4, Inc. | Assisted Living Facility | 3320 East State Boulevard, Fort Wayne, IN 46805 | 2014-01-10 |
| 1356772396 | Alexander James Medical Supply | Durable Medical Equipment & Medical Supplies | 2200 Lake Avenue, Suite 290, Fort Wayne, IN 46805 | 2013-12-02 |
| 1043595689 | Randy James Jennings | Pharmacist | 923 Northcrest Business Center, 6-d, Fort Wayne, IN 46805 | 2011-10-14 |
| Find all providers in zip 46805 | ||||
| Taxonomy Code | 364SP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679549034 | Veronica A Philbin | Clinical Nurse Specialist | 6920 Pointe Inverness Way, #250, Fort Wayne, IN 46804-7926 | 2006-02-27 |
| 1174527899 | Sharon Freeman Clevenger | Clinical Nurse Specialist | 423 Airport North Office Park, Fort Wayne, IN 46825-6704 | 2005-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053650887 | Gerald Lewis Inc. | Clinical Nurse Specialist | 1150 Eastport Centre Dr, Suite D, Valparaiso, IN 46383-8427 | 2013-02-14 |
| 1437497864 | Abidemi Mary Ajuwon | Clinical Nurse Specialist | 3420 Cinnabar St, West Lafayette, IN 47906-7208 | 2013-01-18 |
| 1952603664 | Tara Elizabeth Gavardinas | Clinical Nurse Specialist | The Indiana Clinic, 340 W. 10th Street, Fs 5100, Indianapolis, IN 46202 | 2010-12-01 |
| 1407014327 | Regina Dawn Haight | Clinical Nurse Specialist | 1701 N Capitol Ave, C-3, Indianapolis, IN 46202-1203 | 2008-05-28 |
| 1073780102 | Deborah Lynn May | Clinical Nurse Specialist | 10748 Weston Dr, Carmel, IN 46032-9319 | 2008-05-08 |
| 1245403419 | Carol Agnes Essenmacher | Clinical Nurse Specialist | 8075 N Shadeland Ave Ste 350, Indianapolis, IN 46250-2693 | 2008-04-09 |
| 1508041716 | Elisabeth K Degenhardt | Clinical Nurse Specialist | 5230 E Stop 11 Rd Ste 300, Indianapolis, IN 46237-6401 | 2008-01-07 |
| 1306999131 | Kathleen R Lynch Lewis | Clinical Nurse Specialist | 281 Bielby Rd, Lawrenceburg, IN 47025-1055 | 2007-01-18 |
| 1831207000 | Frances Lucille Miller | Clinical Nurse Specialist | 145 Green Meadows Drive, Greenfield, IN 46140-4001 | 2006-08-28 |
| 1558308841 | Jennifer G Sims | Clinical Nurse Specialist | 1481 W 10th St # C-5085, Richard L Roudebush Va Medical Center, Indianapolis, IN 46202-2803 | 2006-06-02 |
| Find all providers with the same taxonomy | ||||
| City | FORT WAYNE |
| Zip Code | 46805 |
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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.