Elizabeth Bitgood
Individual provider Active NPI Pediatric Registered Nurse · Southbridge, MA
NPI 1053563700 · NPPES record last updated Oct 14, 2008
Key facts
- NPI
- 1053563700
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Registered Nurse 163WP0200X
- License
- 136296 (MA)
- Practice address
- 486 Worcester St
Kennedy Donovan Center
Southbridge, MA 01550-1386 - Phone
- (508) 765-0292
- NPI assigned
- Oct 14, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 136296 | MA | MD | Pediatric Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kennedy Donovan Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | 136296 | MA | Yes |
Addresses
Primary practice location
486 Worcester St
Kennedy Donovan Center
Southbridge, MA 01550-1386
Mailing address
486 Worcester St
Kennedy Donovan Center
Southbridge, MA 01550-1386
Phone (508) 765-0292
Other providers in Southbridge, MA
- Ashley Lyn Benvenuti
- Jacqueline Ann Berube
- Jessi Bessette
- Better Living Medical Supply LLC
- Allison S Betts
- Bonnie Sarah Bitran
- Jennifer Blanchet
- Doreen Blouin
- Lauren Boisvert
- Laurel Boland
All providers in Southbridge, MA · Pediatric Registered Nurse in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.