Elizabeth Theodora Priller, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

041363072 Issued in IL

Practice address

301 S 5TH St
Oregon, IL 61061-1808

Phone

(815) 291-8254

NPI assigned

Jan 28, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Elizabeth Theodra Chambers Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1548633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548633600000",
    "number": "1174087712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S 5TH ST",
            "city": "OREGON",
            "state": "IL",
            "postal_code": "610611808",
            "telephone_number": "815-291-8254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S 5TH ST",
            "city": "OREGON",
            "state": "IL",
            "postal_code": "610611808",
            "telephone_number": "815-291-8254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRILLER",
        "first_name": "ELIZABETH",
        "middle_name": "THEODORA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-28",
        "last_updated": "2019-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041363072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "CHAMBERS",
            "middle_name": "THEODRA",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joyce Shirley Peterson, RN
• Pamela Plachno, BSPT
• John H Plescia, M.D.
• Haley Poser, MSN, RN, CLC
• Bryanna Powell
• Nikki Principato, BS, MHP
• Promptnp Healthcare PLLC
• R & J Healthcare, LTD (Rock Valley Chiropractic Associates)
• Gregory D Reckamp, M.D.
• Karen Ries, NP

• Registered Nurse in Oregon, IL
• Providers in Oregon, IL by specialty
• Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; 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.