DEVONDA Y ELLIOTT
NPI 1962029389
Recreation Therapist in Jackson, MS

Active since July 01, 2020
1500 E WOODROW WILSON AVE, JACKSON, MS 39216(601) 364-4471 Get Directions Write a Review

NPPES record last updated: July 1, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Devonda Y Elliott NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEVONDA Y ELLIOTT (NPI 1962029389) is an individual recreation therapist in Jackson, Mississippi, licensed in Mississippi (53246) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1962029389
Entity TypeIndividualFemale
Primary Taxonomy225800000X
Provider Legal NameDEVONDA Y ELLIOTT
Location Address1500 E WOODROW WILSON AVEJackson, MS 39216-5116
Mailing Address1500 E Woodrow Wilson AveJackson, MS 39216-5116 · (601) 364-4471
Sole ProprietorYes
Enumeration DateJuly 1, 2020
NPPES CertifiedJuly 1, 2020
NPI 1962029389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRecreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225800000X
License Licensed in MS · 53246
Definition
A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.
1500 E WOODROW WILSON AVE, Jackson, MS 39216

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Psychologist
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Pharmacist
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Pharmacist
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Pharmacist
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Dietitian, Registered
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Chronic Disease Hospital
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Social Worker (Clinical)
1500 E WOODROW WILSON AVE
JACKSON, MS 39216

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Devonda Elliott's NPI number?

The NPI number for Devonda Elliott is 1962029389. It was assigned to this individual provider in the NPPES registry on July 1, 2020.

Where is Devonda Elliott located?

Devonda Elliott practices at 1500 E Woodrow Wilson Ave, Jackson, MS 39216. The listed phone number is (601) 364-4471.

What is Devonda Elliott's specialty?

The primary specialty registered for this NPI is Recreation Therapist with taxonomy code 225800000X.

When was this NPI record last updated?

The NPPES record for Devonda Elliott was last updated on July 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.