Active NPI
Elizabeth Yamaguchi, DNP, FNP, RN, BSN
- Family Nurse Practitioner
- Round Rock, TX
National Provider Identifier
1356933204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1029907
- Practice address
- 2200 N a W Grimes Blvd Ste 210
Round Rock, TX 78665-2424 - Phone
- (512) 772-2929
- Fax
- (512) 772-2929
- NPI assigned
- Feb 10, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1029907 | TX | Primary |
Addresses
Primary practice location
2200 N a W Grimes Blvd Ste 210
Round Rock, TX 78665-2424
Mailing address
2200 N a W Grimes Blvd Ste 210
Round Rock, TX 78665-2424
Phone (512) 772-2929
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Aug 30, 2021 through Aug 30, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1029907 | TX | MD | Family Nurse Practitioner |
Interoperability endpoints
- elizabeth.yamaguchi.1@27825.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686009600000",
"number": "1356933204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 N A W GRIMES BLVD STE 210",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786652424",
"telephone_number": "512-772-2929",
"fax_number": "512-772-2929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 N A W GRIMES BLVD STE 210",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786652424",
"telephone_number": "512-772-2929",
"fax_number": "512-772-2929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAMAGUCHI",
"first_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "DNP, FNP, RN, BSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-10",
"last_updated": "2023-06-06",
"certification_date": "2023-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1029907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.