Springfield Elder Care, PC

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

APN209006847 Issued in IL

Legal business name

SPRINGFIELD ELDER CARE, PC

Practice address

1808 S Bates Ave
Springfield, IL 62704-3354

Phone

(217) 391-6301

Fax

(713) 344-9420

NPI assigned

Jul 11, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth Carlson, APRN

Title

Owner

Phone

(217) 391-6301

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310342400000",
    "number": "1124316286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 431",
            "city": "STILWELL",
            "state": "KS",
            "postal_code": "660850431",
            "telephone_number": "217-391-6301",
            "fax_number": "713-344-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 S BATES AVE",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627043354",
            "telephone_number": "217-391-6301",
            "fax_number": "713-344-9420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD ELDER CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-11",
        "last_updated": "2011-07-11",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-391-6301",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IL",
            "license": "APN209006847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Springfield Clinic, LLP
• Springfield Clinic, LLP
• Springfield Ctr Psychological SVS
• Springfield Developmental Center
• Springfield Elder Care, LLC
• Springfield Eye Consultants PC
• Springfield Family Counseling Center
• Springfield Family Practice Lab
• Springfield Hair Restorations LLC
• Springfield Health Partners, LLC (Springfield Priority Care)

• Gerontology Nurse Practitioner in Springfield, IL
• Providers in Springfield, IL by specialty
• Gerontology Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; 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.