Elizabeth Ann Chidothe, RN, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R 179673-7 Issued in MN

Practice address

814 South 3Rd Street
Minneapolis, MN 55415-1208

Phone

(612) 888-9792

Fax

(612) 888-9762

NPI assigned

Feb 22, 2012

Last updated

Apr 10, 2015By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: elizabeth.chidothe@811393367080964.direct.elationemr.com

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.

• Medexpress Urgent Care Minnesota P.C.

  dba MedExpress Urgent Care - Eden Prairie, W 78th St

  • Urgent Care Clinic/Center
  • Eden Prairie, MN
  • NPI 1588025332
  NPD (past)

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428624000000",
    "number": "1154694032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 SHINGLE CREEK PKWY STE 600",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554302127",
            "telephone_number": "612-888-9792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 SOUTH 3RD STREET",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554151208",
            "telephone_number": "612-888-9792",
            "fax_number": "612-888-9762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIDOTHE",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "RN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-22",
        "last_updated": "2015-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "R 179673-7",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2015; 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.