Individual provider Active NPI

Elizabeth Fox, C.N.S. AND F.N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Fresno, CA
National Provider Identifier
1174584411
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
14191 Issued in CA
Practice address
7461 N 1St St Ste 102
Fresno, CA 93720-2850
Phone
(888) 588-8995
NPI assigned
Mar 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 14191 CA Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X 384702 CA
Family Nurse Practitioner 363LF0000X 384702 CA

Addresses

Primary practice location

7461 N 1St St Ste 102
Fresno, CA 93720-2850

Mailing address

7461 N 1St St Ste 102
Fresno, CA 93720-2850
Phone (888) 588-8995

Other identifiers 1

IdentifierTypeStateIssuer
1174584411MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL efox@fresnocountyca.gov Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20170413000672 CA Practitioner - Nurse Practitioner 5698051233 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
384702CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
A Mind Above, a Professional Psychology Corporation CurrentSince Feb 9, 2023 Accepting new patients

Locations

334 Shaw Ave
Ste 100
Clovis, CA 93612
Phone (559) 454-1819

1300 E Shaw Ave
Ste 109
Fresno, CA 93710
Phone (559) 712-8800

1300 E Shaw Ave
Ste 171
Fresno, CA 93710
Phone (559) 313-1398

Organizations & group practices 1

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": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1174584411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7461 N 1ST ST STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202850",
            "telephone_number": "888-588-8995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7461 N 1ST ST STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202850",
            "telephone_number": "888-588-8995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "C.N.S. AND F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "14191",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "384702",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "384702",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174584411",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "efox@fresnocountyca.gov",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3133 N Millbrook Ave",
            "city": "Fresno",
            "state": "CA",
            "country_code": "US",
            "postal_code": "937031425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.