Individual provider Active NPI

Elizabeth Mary Stapleton, CPE

  • Specialist
  • Bloomingdale, IL
National Provider Identifier
1174195176
Registry record updated Jul 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
220.000019 Issued in IL
Practice address
231 S Gary Ave Ste 112
Bloomingdale, IL 60108-2227
Phone
(630) 220-7313
NPI assigned
Jul 11, 2021
Last updated
Jul 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 220.000019 IL Primary

Addresses

Primary practice location

231 S Gary Ave Ste 112
Bloomingdale, IL 60108-2227

Mailing address

1348 Court Leona
Hanover Park, IL 60133-5419
Phone (630) 750-9931

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
220.000019ILMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1625961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625961600000",
    "number": "1174195176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1348 COURT LEONA",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601335419",
            "telephone_number": "630-750-9931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 S GARY AVE STE 112",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082227",
            "telephone_number": "630-220-7313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAPLETON",
        "first_name": "ELIZABETH",
        "middle_name": "MARY",
        "credential": "CPE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-11",
        "last_updated": "2021-07-11",
        "certification_date": "2021-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "220.000019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomingdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2021; 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.