Elizabeth Richmiller, APRN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

209011893 Issued in IL

Practice address

1625 Avenue of the Cities
Moline, IL 61265-4856

Phone

(309) 797-5437

Fax

(309) 797-3140

NPI assigned

Sep 23, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Pediatric Group Associates, SC

  • Pediatrics Physician
  • Moline, IL
  • NPI 1114987252
  NPD (past)

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411430400000",
    "number": "1184026080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 AVENUE OF THE CITIES",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612654856",
            "telephone_number": "309-797-5437",
            "fax_number": "309-797-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 AVENUE OF THE CITIES",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612654856",
            "telephone_number": "309-797-5437",
            "fax_number": "309-797-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHMILLER",
        "first_name": "ELIZABETH",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-23",
        "last_updated": "2014-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IL",
            "license": "209011893",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IA",
            "license": "C133173",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Temia Rice
• Brian J Richards, D.D.S.
• Melvin J. Richards, M.D.
• Michael Donald Richards, D.C.
• Jacquelyn L Richardson, DDS
• Kasey Riesberg, D.C.
• Ronald Dale Riggins, D.M.D.
• Lonnie L Rinell, DC
• Chloe Frances Rittenhouse
• Eric Ritterhoff, MD

• Pediatric Nurse Practitioner in Moline, IL
• Providers in Moline, IL by specialty
• Pediatric Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; 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.