Elizabeth Mary Tweedly, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703107216 Issued in MI

Practice address

32500 Concord Dr
Madison HTS, MI 48071-1100

Phone

(866) 876-2747

Fax

(586) 620-6040

NPI assigned

May 30, 2012

Last updated

May 30, 2012By 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)

Not enrolled

State licenses

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338336000000",
    "number": "1063773620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32500 CONCORD DR",
            "city": "MADISON HTS",
            "state": "MI",
            "postal_code": "480711100",
            "telephone_number": "866-876-2747",
            "fax_number": "586-620-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32500 CONCORD DR",
            "city": "MADISON HTS",
            "state": "MI",
            "postal_code": "480711100",
            "telephone_number": "866-876-2747",
            "fax_number": "586-620-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TWEEDLY",
        "first_name": "ELIZABETH",
        "middle_name": "MARY",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-30",
        "last_updated": "2012-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703107216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Licensed Practical Nurse in Madison HTS, MI
• Providers in Madison HTS, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; 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.