Active NPI
Elizabeth Marie Hamstra, APRN
- Pediatrics Physician
- Palmetto, FL
National Provider Identifier
1023785755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2021007304
- Practice address
- 218 9TH Street Dr W
Palmetto, FL 34221-4802 - Phone
- (941) 721-3900
- NPI assigned
- Aug 30, 2021
- Last updated
- Dec 13, 2024
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | APRN1101343 | FL | |
| Pediatric Nurse Practitioner | 363LP0200X | 2021007304 | MO | |
| Pediatric Nurse Practitioner | 363LP0200X | 4704422645 | MI | |
| Pediatrics Physician | 208000000X | 2021007304 | MO | Primary |
Addresses
Primary practice location
218 9TH Street Dr W
Palmetto, FL 34221-4802
Mailing address
912 NW 10TH St
Blue Springs, MO 64015-3058
Phone (816) 240-3665
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
| License | State | Type | Specialty |
|---|---|---|---|
| APRN1101343 | FL | MD | Pediatric Nurse Practitioner |
| 4704422645 | MI | MD | Pediatric Nurse Practitioner |
| 2021007304 | MO | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shreeji Inc | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734048000000",
"number": "1023785755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "912 NW 10TH ST",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "640153058",
"telephone_number": "816-240-3665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "218 9TH STREET DR W",
"city": "PALMETTO",
"state": "FL",
"postal_code": "342214802",
"telephone_number": "941-721-3900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMSTRA",
"first_name": "ELIZABETH",
"middle_name": "MARIE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-30",
"last_updated": "2024-12-13",
"certification_date": "2024-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "APRN1101343",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MO",
"license": "2021007304",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MI",
"license": "4704422645",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MO",
"license": "2021007304",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palmetto, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.