Elizabeth Fern Gephart, RN, APRN

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

041.185284 Issued in IL

Practice address

101 N 16TH St
Springfield, IL 62703-1101

Phone

(217) 525-6522

NPI assigned

Nov 5, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Ucp Land of Lincoln

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Springfield, IL
  • NPI 1659745503
  NPD (past)

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446681600000",
    "number": "1043683584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N 16TH ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627031101",
            "telephone_number": "217-525-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N 16TH ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627031101",
            "telephone_number": "217-525-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEPHART",
        "first_name": "ELIZABETH",
        "middle_name": "FERN",
        "name_prefix": "Dr.",
        "credential": "RN, APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-05",
        "last_updated": "2015-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "IL",
            "license": "041.185284",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IL",
            "license": "209.000473",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Gentry, RBT
• Jorden Gentry, PA-C
• Finney George, MD
• Margaret Anne George
• Shady Georgy
• George A Geranios, MD
• Mark Leroy Gerberding, PT
• Kayla Jane Gerdes, MA, LCPC
• Wendy E Gerger, OTR/L
• Alison J. Gerringer, NP

• Pediatric Registered Nurse in Springfield, IL
• Providers in Springfield, IL by specialty
• Pediatric Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; 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.