Individual provider Active NPI

Elizabeth Epple, NP

  • Adult Medicine Physician
  • New York, NY
National Provider Identifier
1114534575
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
F3460004 Issued in NY
Practice address
Atria 36 E 57TH
5TH Floor
New York, NY 10022
Phone
(212) 600-2000
Fax
(212) 540-0855
NPI assigned
Sep 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F346004 NY
Adult Medicine Physician 207QA0505X F3460004 NY Primary

Addresses

Primary practice location

Atria 36 E 57TH
5TH Floor
New York, NY 10022

Mailing address

36 E 57TH
5TH Floor
New York, NY 10022
Phone (212) 600-2000

Other names 1

  • Elizabeth Hartin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F3460004NYMDAdult Medicine Physician
F346004NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Atria Physician Practice New York, PC CurrentSince Jul 2, 2023 Accepting new patients

Locations

36 E 57th St
Fl 5
New York, NY 10022
Phone (212) 600-2000

Interoperability endpoints

  • Direct secure messaging: elizabeth.epple.1@24265.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24265/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1114534575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 E 57TH",
            "address_2": "5TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10022",
            "telephone_number": "212-600-2000",
            "fax_number": "212-540-0855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ATRIA 36 E 57TH",
            "address_2": "5TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10022",
            "telephone_number": "212-600-2000",
            "fax_number": "212-540-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPPLE",
        "first_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-29",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F346004",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NY",
            "license": "F3460004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "HARTIN",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.