Individual provider Active NPI

Elizabeth Ruth Lotz, RFM, CFM

  • Specialist
  • Wausau, WI
National Provider Identifier
1386689099
Registry record updated Oct 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
CFM00825 Issued in WI
Practice address
1108 S 17TH Ave
Wausau, WI 54401-5709
Phone
(715) 845-2800
Fax
(715) 845-2855
NPI assigned
Jun 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X CFM00825 WI Primary

Addresses

Primary practice location

1108 S 17TH Ave
Wausau, WI 54401-5709

Mailing address

1108 S 17TH Ave
Wausau, WI 54401-5709
Phone (715) 845-2800

Other identifiers 1

IdentifierTypeStateIssuer
41782800MedicaidWI

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
CFM00825WIMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223510400000",
    "number": "1386689099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 S 17TH AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544015709",
            "telephone_number": "715-845-2800",
            "fax_number": "715-845-2855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 S 17TH AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544015709",
            "telephone_number": "715-845-2800",
            "fax_number": "715-845-2855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOTZ",
        "first_name": "ELIZABETH",
        "middle_name": "RUTH",
        "name_prefix": "Mrs.",
        "credential": "RFM, CFM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-17",
        "last_updated": "2008-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WI",
            "license": "CFM00825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41782800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; 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.