Active NPI
Elizabeth Church, CRNP
- Registered Nurse
- Gap, PA
National Provider Identifier
1134450661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN281307L
- Practice address
- 5275 Lincoln Hwy
Gap, PA 17527-9427 - Phone
- (717) 442-8111
- Fax
- (717) 442-8981
- NPI assigned
- Jan 22, 2010
- Last updated
- Jan 22, 2010
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN281307L | PA | Primary |
Addresses
Primary practice location
5275 Lincoln Hwy
Gap, PA 17527-9427
Mailing address
5275 Lincoln Hwy
Gap, PA 17527-9427
Phone (717) 442-8111
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN281307L | Other | PA | RN LICENSE |
| SP010547 | Other | PA | CRNP LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN281307L | PA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lancaster General Medical Group | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- Lancaster, PA
- NPI 1306724570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264118400000",
"number": "1134450661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5275 LINCOLN HWY",
"city": "GAP",
"state": "PA",
"postal_code": "175279427",
"telephone_number": "717-442-8111",
"fax_number": "717-442-8981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5275 LINCOLN HWY",
"city": "GAP",
"state": "PA",
"postal_code": "175279427",
"telephone_number": "717-442-8111",
"fax_number": "717-442-8981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHURCH",
"first_name": "ELIZABETH",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-22",
"last_updated": "2010-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN281307L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "RN281307L",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRNP LICENSE",
"identifier": "SP010547",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gap, PA
- Brandywine Valley Oral & Maxiollofacial Surgery
- Frank Truman Byerly, RPH
- Carrie Stevenson Cantrell, MFT
- Man Yee Chan, D.M.D.
- Christiana Community Ambulance Association Inc
- Commonwealth Emergency Crisis Response, Inc.
- Jeffry A Cooke, PA-C
- Tim H Darragh, PHARM D
- Emmajane Robinson Denlinger
- Melissa Regina Dewalt, DC, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.