Individual provider Active NPI

Elizabeth Mary Kitching, FNP-BC

  • Family Medicine Physician
  • Newark, DE
National Provider Identifier
1457061988
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
LG-0012239 Issued in DE
Practice address
4006 Golf View Dr
Newark, DE 19702-1756
Phone
(484) 678-9222
NPI assigned
Nov 23, 2022
Last updated
Nov 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X LG-0012239 DE Primary

Addresses

Primary practice location

4006 Golf View Dr
Newark, DE 19702-1756

Mailing address

4006 Golf View Dr
Newark, DE 19702-1756
Phone (484) 678-9222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260427003259 DE Practitioner - Nurse Practitioner 9537636501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Drexel University College of Medicine, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1805 Foulk Rd
Suite F
Wilmington, DE 19810-3700

4512 Kirkwood Hwy
Suite 205
Wilmington, DE 19808

PO Box
Belfast, ME 04915

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LG-0012239DEMDFamily Medicine Physician

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1669161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669161600000",
    "number": "1457061988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4006 GOLF VIEW DR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197021756",
            "telephone_number": "484-678-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4006 GOLF VIEW DR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197021756",
            "telephone_number": "484-678-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITCHING",
        "first_name": "ELIZABETH",
        "middle_name": "MARY",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-23",
        "last_updated": "2022-11-23",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "LG-0012239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.