Individual provider Active NPI

Elizabeth Collins Liggett, NP

  • Adult Health Nurse Practitioner
  • Okatie, SC
National Provider Identifier
1407199425
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
23385 Issued in SC
Practice address
40 Okatie Center Blvd S
210
Okatie, SC 29909
Phone
(843) 705-0840
Fax
(843) 705-0890
NPI assigned
Mar 27, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X 23385 SC Primary

Addresses

Primary practice location

40 Okatie Center Blvd S
210
Okatie, SC 29909

Mailing address

40 Okatie Center Blvd S
Ste 210
Okatie, SC 29909-7511
Phone (843) 705-0840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160301001130 CT Practitioner - Nurse Practitioner 9931320702 Reassigns benefits to 1 organization
I20200413002063 SC Practitioner - Nurse Practitioner 9931320702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Columbia University College of Physicians and Surgeons, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heritage Dermatology PCGroup PAC ID 8628961943, 5 clinicians

Practice addresses (Care Compare)

40 Okatie Ctr Blvd S
Suite 210
Bluffton, SC 29909-7511
Phone (843) 689-5259

Hospital & facility affiliations

  • Beaufort County Memorial Hospital Hospital, Beaufort, SC, CCN 420067

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
306816NYMDPediatrics Physician
5925CTMDPhysical Rehabilitation Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Dermatology PC Single Specialty CurrentSince Mar 7, 2020 Accepting new patients
Urgent Care Center LLP Single Specialty CurrentSince Jan 1, 2016 Accepting new patients
Heritage Dermatology PC Single Specialty CurrentSince Mar 7, 2020 Accepting new patients
Heritage Dermatology PC Single Specialty Past Accepting new patients

Locations

163 Universal Dr N
North Haven, CT 06473
Phone (203) 466-8060

109 Boston Post Rd
Orange, CT 06477
Phone (203) 298-4600

279 Chase Ave
Waterbury, CT 06704
Phone (203) 573-8577

506 Frost Rd
Waterbury, CT 06705
Phone (203) 437-8468

242 Ladys Island Dr
Beaufort, SC 29907
Phone (843) 352-6363

3901 Main St
Ste D
Hilton Head Island, SC 29926
Phone (843) 242-7223

40 Okatie Center Blvd S
Ste 210
Okatie, SC 29909
Phone (843) 705-0840

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1407199425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 OKATIE CENTER BLVD S",
            "address_2": "STE 210",
            "city": "OKATIE",
            "state": "SC",
            "postal_code": "299097511",
            "telephone_number": "843-705-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 OKATIE CENTER BLVD S",
            "address_2": "210",
            "city": "OKATIE",
            "state": "SC",
            "postal_code": "29909",
            "telephone_number": "843-705-0840",
            "fax_number": "843-705-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIGGETT",
        "first_name": "ELIZABETH",
        "middle_name": "COLLINS",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-27",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "SC",
            "license": "23385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okatie, SC

Sources for this page

Verify at the official NPI Registry.