Elizabeth Fleming

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209011045 Issued in IL

Practice address

580 Waters Edge Ste 100
Lombard, IL 60148-6431

Phone

(630) 495-8484

NPI assigned

Feb 21, 2014

Last updated

Oct 17, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1392940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508198400000",
    "number": "1043635436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 WATERS EDGE STE 100",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601486431",
            "telephone_number": "630-495-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 WATERS EDGE STE 100",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601486431",
            "telephone_number": "630-495-8484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1154 S Clark St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606052159",
            "country_code": "US",
            "telephone_number": "312-212-6300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-21",
        "last_updated": "2017-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209011045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imran Firdausi, OTR/L, MHS
• Firm Foundations, LTD.
• First Responders Wellness Center, PLLC
• Deloris Darlene Fisher, LCSW
• Lorri Fisher, LCSW
• Kiley E Fletcher, DC
• Christina Vera Floreani
• Bonnie J Floyd, PH.D.
• Meghan Flynn Colan, MS CCC-SLP
• Amy Flynt, LCSW

• Family Nurse Practitioner in Lombard, IL
• Providers in Lombard, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; 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.