Individual provider Active NPI

Elizabeth Trisotto

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1295123867
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9247996 Issued in FL
Practice address
1400 Broadfield Blvd Ste 200
Houston, TX 77084-5162
Phone
(914) 919-9200
Fax
(833) 913-2393
NPI assigned
Jan 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2025011721 MO
Family Nurse Practitioner 363LF0000X GAA-NP003021 GA
Family Nurse Practitioner 363LF0000X 884939 NV
Family Nurse Practitioner 363LF0000X PR18031 NV
Family Nurse Practitioner 363LF0000X 37822 TN
Family Nurse Practitioner 363LF0000X APRN9247996 FL Primary
Family Nurse Practitioner 363LF0000X 115798 NE
Family Nurse Practitioner 363LF0000X 239281 LA
Family Nurse Practitioner 363LF0000X 4033233 KY
Family Nurse Practitioner 363LF0000X 1170315 TX
Family Nurse Practitioner 363LF0000X 9247996 FL
Family Nurse Practitioner 363LF0000X 907426 MS
Family Nurse Practitioner 363LF0000X 26NJ15254300 NJ
Family Nurse Practitioner 363LF0000X 4704422867 MI
Family Nurse Practitioner 363LF0000X ARNP9247996 FL

Addresses

Primary practice location

1400 Broadfield Blvd Ste 200
Houston, TX 77084-5162

Mailing address

1051 Prairie Dunes CT
Orange Park, FL 32065-2680
Phone (407) 923-6033

Other practice location 1

4625 Lindell Blvd Fl 2
Saint Louis, MO 63108-3739
Phone (914) 919-9200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
907426MSMDRegistered Nurse
9247996FLMDFamily Nurse Practitioner
APRN9247996FLMDFamily Nurse Practitioner
ARNP9247996FLMDFamily Nurse Practitioner
GAA-NP003021GAMDFamily Nurse Practitioner
4033233KYMDFamily Nurse Practitioner
239281LAMDFamily Nurse Practitioner
4704422867MIMDFamily Nurse Practitioner
2025011721MOMDFamily Nurse Practitioner
115798NEMDFamily Nurse Practitioner
26NJ15254300NJMDFamily Nurse Practitioner
884939NVMDFamily Nurse Practitioner
PR18031NVMDFamily Nurse Practitioner
37822TNMDFamily Nurse Practitioner
1170315TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Inlet Pediatrics and Primary Care PastSince Jun 24, 2017 Accepting new patients
Angel Kids PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: elizabeth.trisotto.1@25307.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1420416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1295123867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 PRAIRIE DUNES CT",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320652680",
            "telephone_number": "407-923-6033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 BROADFIELD BLVD STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770845162",
            "telephone_number": "914-919-9200",
            "fax_number": "833-913-2393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4625 Lindell Blvd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631083739",
            "country_code": "US",
            "telephone_number": "914-919-9200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRISOTTO",
        "first_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-05",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2025011721",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GAA-NP003021",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "884939",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "PR18031",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "37822",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9247996",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "115798",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "239281",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4033233",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1170315",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9247996",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "907426",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15254300",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704422867",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9247996",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.