Active NPI
Elizabeth A. Dick, ARNP
- Acute Care Nurse Practitioner
- Richland, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- AP61278967
- Practice address
- 1100 Goethals Dr Ste E
Richland, WA 99352-3301 - Phone
- (509) 942-3095
- Fax
- (509) 942-3097
- NPI assigned
- Jun 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | AP61278967 | WA | Primary |
| Acute Care Nurse Practitioner | 363LA2100X | NP-05417 | OH | |
| Emergency Medicine Physician | 207P00000X | 57927 | WV | |
| Nurse Practitioner | 363L00000X | 5018691 | NC |
Addresses
Primary practice location
1100 Goethals Dr Ste E
Richland, WA 99352-3301
Mailing address
550 Gage Blvd Ste 101
Richland, WA 99352-9532
Phone (509) 473-0637
Other practice location 1
9000 N Main St Ste 101
Englewood, OH 45415-1184
Phone (937) 832-2425
Other practice location 2
400 Matthew St
Suite 302
Marietta, OH 45750-1644
Phone (740) 568-5207
Other practice location 3
Medical Center Blvd
Winston Salem, NC 27157-1644
Phone (336) 716-6674
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2888157 | Medicaid | OH | |
| 000000592451 | Other | OH | ANTHEM |
| P00719631 | Other | OH | RRMCR |
| 000000699820 | Other | OH | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH, NC, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1100 Goethals Dr
Suite E
Richland, WA 99352-3301
Phone (509) 942-2986
Hospital & facility affiliations
- Kadlec Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57927 | WV | MD | Emergency Medicine Physician |
| NP-05417 | OH | MD | Acute Care Nurse Practitioner |
| AP61278967 | WA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kadlec Regional Medical Center | Current | Accepting new patients | |
| Kadlec Regional Medical Center | Current | Accepting new patients | |
| Catholic Medical Center | Current | Accepting new patients | |
| Catholic Medical Center | Current | Accepting new patients | |
| Kadlec Regional Medical Center | Current | Accepting new patients | |
| Charleston Area Medical Center Inc | Past | Accepting new patients | |
| Ohio Valley Physicians Inc | Past | Accepting new patients | |
| Bestpractices of West Virginia, Inc. | Emergency Medicine | Past | Accepting new patients |
Locations
100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931
550 Gage Blvd
Ste 101
Richland, WA 99352
1135 Jadwin Ave
Richland, WA 99352
Phone (509) 942-3300
1100 Goethals Dr
Ste E
Richland, WA 99352
Phone (509) 942-3095
Organizations & group practices 8
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.
-
- General Acute Care Hospital
- Richland, WA
- NPI 1972507580
-
- Cardiovascular Disease Physician
- Manchester, NH
- NPI 1386672319
-
- Plastic Surgery Physician
- Richland, WA
- NPI 1235471954
-
- Rehabilitation Hospital Unit
- Richland, WA
- NPI 1790319580
-
- Anesthesiology Physician
- Manchester, NH
- NPI 1003692112
-
- Emergency Medicine Physician
- Parkersburg, WV
- NPI 1245284421
-
- Psychiatric Hospital Unit
- Charleston, WV
- NPI 1265421226
-
- Substance Abuse Rehabilitation Facility
- South Point, OH
- NPI 1750776068
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Richland, WA
- NPI 1972507580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784678400000",
"number": "1255375192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 GAGE BLVD STE 101",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993529532",
"telephone_number": "509-473-0637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 GOETHALS DR STE E",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993523301",
"telephone_number": "509-942-3095",
"fax_number": "509-942-3097"
}
],
"practiceLocations": [
{
"address_1": "9000 N Main St Ste 101",
"address_purpose": "LOCATION",
"city": "Englewood",
"state": "OH",
"postal_code": "454151184",
"country_code": "US",
"telephone_number": "937-832-2425",
"fax_number": "937-832-9804",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 Matthew St",
"address_2": "Suite 302",
"address_purpose": "LOCATION",
"city": "Marietta",
"state": "OH",
"postal_code": "457501644",
"country_code": "US",
"telephone_number": "740-568-5207",
"fax_number": "740-568-5297",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Medical Center Blvd",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271571644",
"country_code": "US",
"telephone_number": "336-716-6674",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DICK",
"first_name": "ELIZABETH",
"middle_name": "A.",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-15",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "WA",
"license": "AP61278967",
"primary": true
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "OH",
"license": "NP-05417",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WV",
"license": "57927",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5018691",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2888157",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000592451",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMCR",
"identifier": "P00719631",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000699820",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.