Elizabeth A Barnum, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

645541 Issued in NY

Practice address

430 Young St
Wilson, NY 14172-9745

Phone

(716) 751-3200

NPI assigned

Nov 20, 2024

Last updated

Nov 20, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1732060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1437974904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "374 LAKE ST",
            "city": "WILSON",
            "state": "NY",
            "postal_code": "141729507",
            "telephone_number": "716-751-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 YOUNG ST",
            "city": "WILSON",
            "state": "NY",
            "postal_code": "141729745",
            "telephone_number": "716-751-3200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "374 Lake St",
            "address_purpose": "LOCATION",
            "city": "Wilson",
            "state": "NY",
            "postal_code": "141729507",
            "country_code": "US",
            "telephone_number": "716-751-3200 x127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARNUM",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-20",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "645541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advance Chiropractic-Wilson P.C.
• Annie Coburn-Kane LCSW PC
• Elizabeth Botzer, PH.D.
• Ann Branch, LMT
• Mary A Canfield, RN
• Ciambella SLP
• Erica Renee Clement, MS OTR/L

• Registered Nurse in Wilson, NY
• Providers in Wilson, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.