Elizabeth Blears
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Sioux Falls, SD
NPI 1376953158 · NPPES record last updated May 2, 2014
Key facts
- NPI
- 1376953158
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1400 W 22ND St
Sioux Falls, SD 57105-1554 - Phone
- (605) 357-1391
- NPI assigned
- May 2, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161207001859 | TX | Order and Referring Only - General Surgery |
7012135379 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Interoperability endpoints
- eblears2931875@direct.trinity-health.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
1400 W 22ND St
Sioux Falls, SD 57105-1554
Mailing address
393 Fairvew Avenue
Winnetka, IL 60093
Other providers in Sioux Falls, SD
- Keelan Noelle Blasius
- Carolyn Ann Blatchford
- Caleb Richard Blauwet
- Teresa Blauwet
- Margaret Kendall Blaylock
- Adam R Bleeker
- Bonnie L. Bleeker
- Brooke Sheridan Bleeker
- Hailey Bleeker
- Jonathan S Bleeker
All providers in Sioux Falls, SD · Student in an Organized Health Care Education/Training Program in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.