Individual provider Active NPI

Elizabeth Ann Flynn, MS, APRN, BC

  • Gerontology Nurse Practitioner
  • Waco, TX
National Provider Identifier
1043424930
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
431613 Issued in TX
Practice address
2911 Herring Ave
Suite 306
Waco, TX 76708-3245
Phone
(254) 755-4559
Fax
(254) 755-4549
NPI assigned
May 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 431613 TX Primary

Addresses

Primary practice location

2911 Herring Ave
Suite 306
Waco, TX 76708-3245

Mailing address

2911 Herring Ave
Suite 306
Waco, TX 76708-3245
Phone (254) 755-4559

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)
Enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043424930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 HERRING AVE",
            "address_2": "SUITE 306",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767083245",
            "telephone_number": "254-755-4559",
            "fax_number": "254-755-4549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 HERRING AVE",
            "address_2": "SUITE 306",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767083245",
            "telephone_number": "254-755-4559",
            "fax_number": "254-755-4549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "MS, APRN, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "431613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.