Elizabeth Yvette Price, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

0002050868 Issued in VA

Practice address

111 Morton Ave
Petersburg, VA 23805-2749

Phone

(804) 862-8004

Fax

(804) 862-6158

NPI assigned

Aug 1, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• District 19 Community Services Board

  • Community/Behavioral Health Agency
  • Petersburg, VA
  • NPI 1225094451
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285641738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2806 TRARICH RD",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238052615",
            "telephone_number": "804-862-8004",
            "fax_number": "804-862-6158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MORTON AVE",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238052749",
            "telephone_number": "804-862-8004",
            "fax_number": "804-862-6158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "ELIZABETH",
        "middle_name": "YVETTE",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "VA",
            "license": "0002050868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPN",
            "identifier": "0002050868",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Positive Changes LLC
• Positive Living Choices LLC
• Kamil Potaczala
• Lord Z Powell
• Catherine Alease Price
• Rachelle Mone Price
• Richard Charles Prim Jr., M.S. C.R.P. C.P.S.
• Priority Nem Transportation LLC
• Pristine Home Services LLC
• Pro-Therapy, LLC

• Licensed Practical Nurse in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Licensed Practical Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.