Elizabeth Fiser
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Little Rock, AR
NPI 1003455833 · NPPES record last updated Dec 26, 2019
Key facts
- NPI
- 1003455833
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 123157 (AR)
- Practice address
- 10025 W Markham St Ste 210
Little Rock, AR 72205-2178 - Phone
- (501) 663-5473
- Fax
- (501) 801-1816
- NPI assigned
- Dec 26, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200505001845 | AR | Practitioner - Nurse Practitioner | 6608207717 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Living Hope Southeast, LLC | Current |
Accepting new patients |
Locations
10025 W Markham St
Ste 210
Little Rock, AR 72205
Phone 5016635473 ext. 443
555 W Gaines St
Monticello, AR 71655
Phone (870) 224-7100
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/lhsoutheast/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 123157 | AR | Yes |
Addresses
Primary practice location
10025 W Markham St Ste 210
Little Rock, AR 72205-2178
Mailing address
10025 W Markham St Ste 210
Little Rock, AR 72205-2178
Phone (501) 663-5473
Other providers in Little Rock, AR
- Rhonda K Finnie
- First Choice Drug Testing and Occupational Health Services Inc.
- First Mobility Solutions
- Kelly Hyde Fischer
- Debra Fiser
- Wesley Martin Fiser
- William Fiser
- Dale Fish
- Charalene R Fisher
- Hazel Ann Fisher
All providers in Little Rock, AR · Psychiatric/Mental Health Nurse Practitioner in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 26, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.