MONICA M ELLIOTT (NPI# 1700065257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700065257 |
| Entity Type | Individual |
| Full Name | MONICA M ELLIOTT |
| Credential | PA-C |
| Practice Address |
603 N Washington Ave Suite 101 Titusville FL 32796 |
| Mailing Address |
3300 S Fiske Blvd Rockledge FL 32955-4306 |
| Practice Telephone | 3212685008 |
| Practice Fax Number | 3216076690 |
| Mailing Telephone | 3212685008 |
| Mailing Fax Number | 3219517408 |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2018-06-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA05295 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE | HV363X | 01 |
| FL | PENDING | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912470188 | Monica A Elliott | Counselor | 777 N 1st St Ste 444, San Jose, CA 95112-6339 | 2019-01-09 |
| 1558786442 | Monica Elliott | Social Worker | 1132 Florence Ave, Evanston, IL 60202-1143 | 2014-02-28 |
| 1720395973 | Monica L. Elliott | Pharmacist | 25800 Highway 171, Many, LA 71449 | 2010-09-09 |
| Street Address |
603 N WASHINGTON AVE SUITE 101 |
| City | TITUSVILLE |
| State | FL |
| Zip Code | 32796 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124064332 | Mario J Barone | Nurse Practitioner | 603 N Washington Ave, Titusville, FL 32796-2107 | 2006-06-22 |
| 1083953467 | Chiron Urgent Care LLC | Emergency Medicine | 603 N Washington Ave, Suite 101, Titusville, FL 32796-2107 | 2013-02-05 |
| 1073860714 | Amanda Gail Sprague | Dietitian, Registered | 603 N Washington Ave, Diabetes Education, Titusville, FL 32796-2107 | 2012-08-13 |
| 1457505554 | Ayesha Hameed | Family Medicine | 603 N Washington Ave, Titusville, FL 32796-2107 | 2008-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427698091 | Miranda Jade Lacey | Behavior Technician | 2073 Graden St, Titusville, FL 32796 | 2020-01-13 |
| 1588183818 | Charles Hopkins Jr. | Behavior Technician | 2073 Garden St., Titusville, FL 32796 | 2017-09-19 |
| 1962924456 | Robin Marie Ahlgren | Social Worker | 503 South Palm Ave, Titusville, FL 32796 | 2017-07-17 |
| 1669994158 | New Creation Counseling | Social Worker | 503 South Palm Ave., Titusville, FL 32796 | 2017-07-17 |
| 1255719506 | Daniel Joseph Spagnoli | Dentist | 55 N Carpenter Rd, Titusville, FL 32796 | 2015-05-07 |
| 1033511415 | Imran Rashid Md Pa | Internal Medicine | 3300 Dairy Road, Titusville, FL 32796 | 2014-09-17 |
| 1639425432 | William Henry Ruppert Jr. | Dietitian, Registered | 2191 Garden Street, Titusville, FL 32796 | 2012-07-30 |
| 1437410230 | Betsy Cooduvalli | Dermatology | 500 N Washington Ave Ste 109, Titusville, FL 32796 | 2012-06-07 |
| 1134403108 | Titusville Chiropractic & Injury Center, Inc. | Chiropractor | 850 Century Medical Drive, Titusville, FL 32796 | 2011-10-07 |
| 1992095152 | Jennifer Eleanor Koffman | Occupational Therapy Assistant | 140 N Hilltop Drive, Titusville, FL 32796 | 2011-04-08 |
| Find all providers in zip 32796 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235100694 | Karen Menor | Physician Assistant | 1832 Garden St, Ste A, Titusville, FL 32796 | 2006-02-01 |
| 1457602468 | Paul Thomas Jennings | Physician Assistant | 951 N Washington Ave, Titusville, FL 32796-2163 | 2012-10-01 |
| 1871840850 | Melissa Nicole Bowen | Physician Assistant | 951 N Washington Ave, Titusville, FL 32796-2163 | 2012-08-09 |
| 1528330545 | Eugene A Snyder Jr. | Physician Assistant | 125 W Walnut St, Titusville, PA 16354-2517 | 2012-02-07 |
| 1528335072 | Kattie Jane Vincent | Physician Assistant | 339 W Spring St, Titusville, PA 16354-1655 | 2011-11-29 |
| 1093953838 | Augusto Jorge Cianciabella | Physician Assistant | 836 Century Medical Dr, Titusville, FL 32796-2141 | 2009-02-02 |
| 1710172465 | Cindy L Robinson | Physician Assistant | 951 N Washington Ave, Titusville, FL 32796-2163 | 2007-09-06 |
| 1982736120 | Susan Thurston | Physician Assistant | 1855 Knox Mcrae Dr, Titusville, FL 32780-5492 | 2007-03-12 |
| 1760421960 | Kimberly M Burke | Physician Assistant | 951 N Washington Ave, Titusville, FL 32796-2163 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295525 | Asahel Romero | Physician Assistant | 13228 Canna Lily Dr, Orlando, FL 32824-5067 | 2020-11-07 |
| 1629679360 | Samantha Lee Zavada | Physician Assistant | 9459 Silver Pine Loop, Fort Myers, FL 33967-5152 | 2020-11-07 |
| 1235730177 | Emily Figueroa Vega | Physician Assistant | 1920 Nw 97th Ave, Coral Springs, FL 33071-5950 | 2020-11-06 |
| 1922609114 | Jeannine Castaneda Calderon | Physician Assistant | 816 Arbor Pointe Ave, Minneola, FL 34715-6052 | 2020-11-04 |
| 1962003178 | Mohammed Bilal Sheikh | Physician Assistant | 2920 Ne 207th St Ste 901, Miami, FL 33180-1444 | 2020-11-04 |
| 1891396131 | Whiplashmd, LLC | Physician Assistant | 940 Centre Cir Ste 1018, Altamonte Springs, FL 32714-7242 | 2020-11-03 |
| 1831799527 | Emily Vander Zee | Physician Assistant | 6680 Bennett Creek Dr Apt 213, Jacksonville, FL 32216-0018 | 2020-10-30 |
| 1245830314 | Jonathan V Korah | Physician Assistant | 6650 Corporate Center Pkwy Apt 1108, Jacksonville, FL 32216-8725 | 2020-10-28 |
| 1255931473 | Rachel Gavrielle Stahly | Physician Assistant | 11438 Emuness Rd, Jacksonville, FL 32218-4050 | 2020-10-27 |
| 1356941504 | Kelsey Alexandra Leon | Physician Assistant | 5033 W Laurel St, Tampa, FL 33607-3855 | 2020-10-27 |
| Find all providers with the same taxonomy | ||||
| City | TITUSVILLE |
| Zip Code | 32796 |
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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.