Provider Type Icon

DR. SUSAN JANE ELLIOTT DNP APRN FNP-C NPI 1407323132


NPI Information

NPI: 1407323132
Provider Name: DR. SUSAN JANE ELLIOTT, DNP, APRN, FNP-C
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

Organization: ST LOUIS UNIVERSITY

PECOS Registration: Yes

Address:
1201 S GRAND BLVD
SAINT LOUIS, MO
ZIP 63104
Phone: (314) 977-8462
Get Directions

DR. Susan Jane Elliott, DNP, APRN, FNP-C is a gerontology nurse practitioner in Saint Louis, MO with 6 years of experience. DR. Susan Jane Elliott, DNP, APRN, FNP-C NPI is 1407323132. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduation Year:2018

The provider's business location address is:

1201 S GRAND BLVD
SAINT LOUIS, MO
ZIP 63104-016
Phone: (314) 977-8462
Fax: (314) 977-3370

The NPI 1407323132 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/31/2018 and was last updated on 3/15/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363L00000XNurse Practitioner2018026391MISSOURINo
2363LG0600XNurse PractitionerGerontologyF07181228MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.