MS. KRISTA NICOLE ELLIOTT NP NPI 1972653426

NPI Information

NPI: 1972653426
Provider Name: MS. KRISTA NICOLE ELLIOTT, NP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
55 LAKE AVE N
WORCESTER, MA
ZIP 01655
Phone: (508) 856-5599
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MS. Krista Nicole Elliott, NP is an acute care nurse practitioner in Worcester, MA with 20 years of experience. MS. Krista Nicole Elliott, NP NPI is 1972653426. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

55 LAKE AVE N
WORCESTER, MA
ZIP 01655-002
Phone: (508) 856-5599

The NPI 1972653426 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 1/10/2007 and was last updated on 11/1/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	233010	MASSACHUSETTS	No
2	363LA2100X	Nurse Practitioner	Acute Care	RN233010	MASSACHUSETTS	Yes
3	363L00000X	Nurse Practitioner		RN233010	MASSACHUSETTS	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	110091727A	MEDICAID	MASSACHUSETTS

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: 4/28/2024

NPI Synchronization or Removal

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