Individual provider Active NPI

Elizabeth A. Dick, ARNP

  • Acute Care Nurse Practitioner
  • Richland, WA
National Provider Identifier
1255375192
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP61278967 Issued in WA
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

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2888157MedicaidOH
000000592451OtherOHANTHEM
P00719631OtherOHRRMCR
000000699820OtherOHANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, NC, WA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20220420001851 NH Practitioner - Nurse Practitioner 2769413459 Reassigns benefits to 1 organization
I20231002001793 NC Practitioner - Nurse Practitioner 2769413459
I20240828001715 WA Practitioner - Nurse Practitioner 2769413459 Reassigns benefits to 1 organization

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
Kadlec Regional Medical CenterGroup PAC ID 9739098617, 402 clinicians

Practice addresses (Care Compare)

1100 Goethals Dr
Suite E
Richland, WA 99352-3301
Phone (509) 942-2986

Hospital & facility affiliations

  • Kadlec Regional Medical Center Hospital, Richland, WA, CCN 500058

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
57927WVMDEmergency Medicine Physician
NP-05417OHMDAcute Care Nurse Practitioner
AP61278967WAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kadlec Regional Medical Center CurrentSince Sep 1, 2024 Accepting new patients
Kadlec Regional Medical Center CurrentSince Sep 1, 2024 Accepting new patients
Catholic Medical Center CurrentSince Apr 8, 2022 Accepting new patients
Catholic Medical Center CurrentSince Apr 8, 2022 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.