Elizabeth Marie Sandidge, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2024008618 Issued in MO

Practice address

2305 S Highway 65
Marshall, MO 65340-3702

Phone

(660) 886-7431

Fax

(660) 886-9001

NPI assigned

Mar 15, 2024

Last updated

Apr 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• John Fitzgibbon Memorial Hospital Inc

  dba Marshall Family Practice

  • Clinic/Center
  • Marshall, MO
  • NPI 1093731986
  Medicare reassignment NPD
• John Fitzgibbon Memorial Hospital Inc.

  dba Fitzgibbon Hospital

  • General Acute Care Hospital
  • Marshall, MO
  • NPI 1730182478
  NPD
• John Fitzgibbon Memorial Hospital, Inc.

  dba Marshall Emergency Physicians

  • Emergency Care Clinic/Center
  • Marshall, MO
  • NPI 1558388173
  NPD

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

{
    "created_epoch": "1710460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1144089806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 S HIGHWAY 65",
            "city": "MARSHALL",
            "state": "MO",
            "postal_code": "653403702",
            "telephone_number": "660-886-7431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 S HIGHWAY 65",
            "city": "MARSHALL",
            "state": "MO",
            "postal_code": "653403702",
            "telephone_number": "660-886-7431",
            "fax_number": "660-886-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDIDGE",
        "first_name": "ELIZABETH",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2024008618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elizabethsandidge@fitzgibbon.cernerdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2305 S Highway 65",
            "city": "Marshall",
            "state": "MO",
            "country_code": "US",
            "postal_code": "653403702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Saleaumua Inc (The Medicine Shoppe)
• Saline County Ambulance District No 3
• Saline County Board of Services for the Developmentally Disabled
• Saline County Health Department
• Saline County School District R-10
• Diane Marie Schlesselman, ATC
• Rori A Schreiman, FNP
• Kurt Schroer, D.O.
• Serc Rehabilitation Partners LLC
• Megan Leigh Shepard, CNM

• Family Nurse Practitioner in Marshall, MO
• Providers in Marshall, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.

Verify at the official NPI Registry.