Elizabeth Amelia Estock, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0000023336 Issued in TN

Practice address

1021 Spring St
Dover, TN 37058

Phone

(931) 232-5329

NPI assigned

Feb 26, 2018

Last updated

May 24, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Elizabeth Amelia Ralls Former name

Medicare fee-for-service enrollment

Enrolled in TN

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

State licenses

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

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527120000000",
    "number": "1235630112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 E LONGDALE DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114413",
            "telephone_number": "615-305-9964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 SPRING ST",
            "city": "DOVER",
            "state": "TN",
            "postal_code": "37058",
            "telephone_number": "931-232-5329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1916 Patterson St Ste 600",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372032159",
            "country_code": "US",
            "telephone_number": "615-329-9888",
            "fax_number": "615-329-2345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESTOCK",
        "first_name": "ELIZABETH",
        "middle_name": "AMELIA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-26",
        "last_updated": "2018-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "0000023336",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "0000181887",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "RALLS",
            "middle_name": "AMELIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dover Care Center
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• Atef Ebrhim, M.D.
• William Aaron Edwards, F.N.P.
• Donna Elkins
• Everlasting Hope Counseling Center
• Laura June Ford, DO
• Deborah Lynn Frank, FNP
• Anna Gray, SLP-CCC
• Natasha Morgan Henry, MS, CCC-SLP

• Family Nurse Practitioner in Dover, TN
• Providers in Dover, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; 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.