Individual provider Active NPI

Elizabeth Nelson, ACUPUNCTURE PHYSICIA

  • Registered Nurse
  • Derry, NH
National Provider Identifier
1013050558
Registry record updated Dec 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
079777-21 Issued in NH
Practice address
20 Crystal Avenue
Derry, NH 03038
Phone
(954) 803-4943
NPI assigned
Feb 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 275 NH
Massage Therapist 225700000X 7635 NH
Registered Nurse 163W00000X 079777-21 NH Primary

Addresses

Primary practice location

20 Crystal Avenue
Derry, NH 03038

Mailing address

28L Derryfield Rd
Derry, NH 03038-4333
Phone (954) 803-4943

Other practice location 1

52 Rockingham Rd
Derry, NH 03038
Phone (954) 803-4943

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
275NHMDPediatric Nutrition Registered Dietitian
079777-21NHMDRegistered Nurse
7635NHMDMassage Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1013050558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28L DERRYFIELD RD",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030384333",
            "telephone_number": "954-803-4943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CRYSTAL AVENUE",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "03038",
            "telephone_number": "954-803-4943"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "52 Rockingham Rd",
            "address_purpose": "LOCATION",
            "city": "Derry",
            "state": "NH",
            "postal_code": "03038",
            "country_code": "US",
            "telephone_number": "954-803-4943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "ACUPUNCTURE PHYSICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NH",
            "license": "275",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NH",
            "license": "7635",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NH",
            "license": "079777-21",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derry, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.