Active NPI
Elizabeth Ashley Meade, N.P.
- Nurse Practitioner
- San Bernardino, CA
National Provider Identifier
1083863492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 18227
- Practice address
- 1873 Commercenter W
San Bernardino, CA 92408-3303 - Phone
- (909) 890-5511
- Fax
- (909) 890-4599
- NPI assigned
- Sep 10, 2008
- Last updated
- Jul 11, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 18227 | CA | Primary |
Addresses
Primary practice location
1873 Commercenter W
San Bernardino, CA 92408-3303
Mailing address
1873 Commercenter W
San Bernardino, CA 92408-3303
Phone (909) 890-5511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151209001052 | CA | Order and Referring Only - Nurse Practitioner | 2264733609 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720656000000",
"number": "1083863492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1873 COMMERCENTER W",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924083303",
"telephone_number": "909-890-5511",
"fax_number": "909-890-4599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1873 COMMERCENTER W",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924083303",
"telephone_number": "909-890-5511",
"fax_number": "909-890-4599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEADE",
"first_name": "ELIZABETH",
"middle_name": "ASHLEY",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-10",
"last_updated": "2024-07-11",
"certification_date": "2024-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "18227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.