Individual provider Active NPI

Elizabeth J. Sloan, CRNP

  • Primary Care Nurse Practitioner
  • Huntsville, AL
National Provider Identifier
1154810422
Registry record updated May 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
1-081770 Issued in AL
Practice address
202 Governors Dr SE
Huntsville, AL 35801-2745
Phone
(256) 517-8317
Fax
(256) 964-8980
NPI assigned
May 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 1-081770 AL Primary

Addresses

Primary practice location

202 Governors Dr SE
Huntsville, AL 35801-2745

Mailing address

202 Governors Dr SE
Huntsville, AL 35801-2745
Phone (256) 517-8317

Other practice location 1

4606 County Road 1223
Vinemont, AL 35179-8595
Phone (256) 531-3141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180924001453 AL Practitioner - Nurse Practitioner 6608127048 Reassigns benefits to 2 organizations
I20210423001834 VA Practitioner - Nurse Practitioner 6608127048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Virginia Carenow Urgent Care LLCGroup PAC ID 4284902057, 55 clinicians

Practice addresses (Care Compare)

4600 Puddledock Rd
Prince George, VA 23875-1235
Phone (804) 704-8655

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-081770ALMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
QC Wellness, LLC CurrentSince May 22, 2018 Accepting new patients
Northern Virginia Carenow Urgent Care, LLC CurrentSince Mar 21, 2023 Accepting new patients
Quick Care Urgent, LLC CurrentSince May 22, 2018 Accepting new patients
QC Pharmacy LLC Past Accepting new patients
Quickcare RX LLC Past Accepting new patients

Locations

202 Governors Dr SE
Huntsville, AL 35801
Phone (256) 517-8317

7500 Highway 72 W
Madison, AL 35758
Phone (256) 517-8317

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

4600 Puddledock Rd
Prince George, VA 23875
Phone (804) 639-7555

46200 Potomac Run Plz
Sterling, VA 20164
Phone (571) 313-5087

Organizations & group practices 5

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": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525219200000",
    "number": "1154810422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 GOVERNORS DR SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358012745",
            "telephone_number": "256-517-8317",
            "fax_number": "256-964-8980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 GOVERNORS DR SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358012745",
            "telephone_number": "256-517-8317",
            "fax_number": "256-964-8980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4606 County Road 1223",
            "address_purpose": "LOCATION",
            "city": "Vinemont",
            "state": "AL",
            "postal_code": "351798595",
            "country_code": "US",
            "telephone_number": "256-531-3141",
            "fax_number": "256-531-3141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLOAN",
        "first_name": "ELIZABETH",
        "middle_name": "J.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-02",
        "last_updated": "2018-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AL",
            "license": "1-081770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.