Elizabeth Fathauer

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11023687 Issued in FL

Practice address

439 SE Hibiscus Ave
Stuart, FL 34996-2549

Phone

(772) 486-3722

NPI assigned

Feb 7, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: efathauer19763@jupitermedicalcenter.direct-ci.com

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.

• Jupiter Medical Center Physicians Group Inc

  • Cardiovascular Disease Physician
  • Jupiter, FL
  • NPI 1396992475
  Medicare reassignment NPD
• Sheridan Emergency Physician Services Inc

  • Emergency Medicine Physician
  • Jupiter, FL
  • NPI 1598748030

  Nurse Practitioner

  Medicare reassignment NPD
• Jupiter Medical Center Physicians Group

  • Urgent Care Clinic/Center
  • Jupiter, FL
  • NPI 1730522921
  NPD
• Jupiter Medical Center Physicians Group Inc

  • Pediatric Surgery Physician
  • Jupiter, FL
  • NPI 1093344376
  NPD
• Sheridan Emergency Physician Services Inc

  • Emergency Medicine Physician
  • Bushnell, FL
  • NPI 1326619727

  Nurse Practitioner

  NPD

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1184321440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 SE HIBISCUS AVE",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349962549",
            "telephone_number": "772-486-3722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 SE HIBISCUS AVE",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349962549",
            "telephone_number": "772-486-3722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATHAUER",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-07",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11023687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Joseph Farrow, M.D.
• Tesla Edwina Fartuch
• John Bradford Fasano, M.D.
• Stephen Nicholas Fasbinder
• Marianna Faso
• Nyla Faulk
• Shanda Christine Faulkenbury
• Wildor Fils Faustin
• Maraceli Merced Favela-Herrera
• Hannah Catherine Favier

• Nurse Practitioner in Stuart, FL
• Providers in Stuart, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.