Individual provider Active NPI

Elizabeth Markwalder, RN

  • Obstetrics & Gynecology Nurse Practitioner
  • Tempe, AZ
National Provider Identifier
1174828842
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
AP0214 Issued in AZ
Practice address
2034 E Southern Ave
Suite T
Tempe, AZ 85282-7522
Phone
(480) 820-9722
Fax
(480) 491-1359
NPI assigned
Jan 11, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN073500 AZ
Obstetrics & Gynecology Nurse Practitioner 363LX0001X AP0214 AZ Primary

Addresses

Primary practice location

2034 E Southern Ave
Suite T
Tempe, AZ 85282-7522

Mailing address

2034 E Southern Ave
Suite T
Tempe, AZ 85282-7522
Phone (480) 820-9722

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN073500AZMDRegistered Nurse
AP0214AZMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Edward D Szmuc, M.D., P.C. Past Accepting new patients

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": "1294704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294704000000",
    "number": "1174828842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2034 E SOUTHERN AVE",
            "address_2": "SUITE T",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827522",
            "telephone_number": "480-820-9722",
            "fax_number": "480-491-1359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2034 E SOUTHERN AVE",
            "address_2": "SUITE T",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827522",
            "telephone_number": "480-820-9722",
            "fax_number": "480-491-1359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKWALDER",
        "first_name": "ELIZABETH",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-11",
        "last_updated": "2011-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN073500",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "AZ",
            "license": "AP0214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; 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.