Individual provider Active NPI

Elizabeth Elaine Adams

  • Community Health Registered Nurse
  • Fort Campbell, KY
National Provider Identifier
1356540835
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
RN094527 Issued in AZ
Practice address
Blanchfield Army Community Hospital/PM/Public Health Nu
BLDG 2506 on 24TH and Indiana St.
Fort Campbell, KY 42223
Phone
(270) 956-0100
Fax
(270) 956-0124
NPI assigned
Jul 13, 2007
Last updated
Jul 13, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X RN094527 AZ Primary

Addresses

Primary practice location

Blanchfield Army Community Hospital/PM/Public Health Nu
BLDG 2506 on 24TH and Indiana St.
Fort Campbell, KY 42223

Mailing address

Blanchfield Ach, Preventive Medicine, Public Health Nur
USA Meddac, BLDG. 2506 Indiana St and 24TH St.
Fort Campbell, KY 42223
Phone (270) 956-0100

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN094527AZMDCommunity Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1356540835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BLANCHFIELD ACH, PREVENTIVE MEDICINE, PUBLIC HEALTH NUR",
            "address_2": "USA MEDDAC, BLDG. 2506 INDIANA ST AND 24TH ST.",
            "city": "FORT CAMPBELL",
            "state": "KY",
            "postal_code": "42223",
            "telephone_number": "270-956-0100",
            "fax_number": "270-956-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLANCHFIELD ARMY COMMUNITY HOSPITAL/PM/PUBLIC HEALTH NU",
            "address_2": "BLDG 2506 ON 24TH AND INDIANA ST.",
            "city": "FORT CAMPBELL",
            "state": "KY",
            "postal_code": "42223",
            "telephone_number": "270-956-0100",
            "fax_number": "270-956-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "ELIZABETH",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-13",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "AZ",
            "license": "RN094527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Campbell, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.