Active NPI
Elizabeth Ann Sano, APRN
- Pediatric Nurse Practitioner
- Conshohocken, PA
National Provider Identifier
1023404555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- RN724709
- Practice address
- 625 W Ridge Pike Ste 300
Conshohocken, PA 19428-1180 - Phone
- (610) 825-1994
- Fax
- (610) 825-2949
- NPI assigned
- Apr 10, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | RN724709 | PA | Primary |
| Pediatric Nurse Practitioner | 363LP0200X | RN399351 | OH |
Addresses
Primary practice location
625 W Ridge Pike Ste 300
Conshohocken, PA 19428-1180
Mailing address
324 E Jefferson St
Media, PA 19063-3804
Phone (937) 776-2799
Other names 1
- Ms. Elizabeth Ann Botts
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN399351 | OH | MD | Pediatric Nurse Practitioner |
| RN724709 | PA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio Pediatrics, Inc. | Past | Accepting new patients | |
| True North Medical Group, LLC | Past | Accepting new patients | |
| True North Medical Group, LLC | Past | Accepting new patients | |
| Ohio Pediatrics, Inc. | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba True North Pediatrics
- Pediatrics Physician
- Willow Grove, PA
- NPI 1750929907
-
- Family Medicine Physician
- Abington, PA
- NPI 1811477573
-
- Pediatrics Physician
- Kettering, OH
- NPI 1619090750
-
- Pediatrics Physician
- Vandalia, OH
- NPI 1699921932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642464000000",
"number": "1023404555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 E JEFFERSON ST",
"city": "MEDIA",
"state": "PA",
"postal_code": "190633804",
"telephone_number": "937-776-2799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 W RIDGE PIKE STE 300",
"city": "CONSHOHOCKEN",
"state": "PA",
"postal_code": "194281180",
"telephone_number": "610-825-1994",
"fax_number": "610-825-2949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANO",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-10",
"last_updated": "2022-01-18",
"certification_date": "2022-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "PA",
"license": "RN724709",
"primary": true
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "OH",
"license": "RN399351",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "BOTTS",
"middle_name": "ANN",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Conshohocken, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.