Active NPI
Elizabeth Katherine Rostron, MSN, RN
- Pediatric Registered Nurse
- Marblehead, MA
National Provider Identifier
1457731382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Registered Nurse
- License
- RN2295053
- Practice address
- 24 Bessom St
Marblehead, MA 01945-2329 - Phone
- (978) 223-3872
- NPI assigned
- Jun 5, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | RN2295053 | MA | Primary |
Addresses
Primary practice location
24 Bessom St
Marblehead, MA 01945-2329
Mailing address
24 Bessom St
Marblehead, MA 01945-2329
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457731382-110159921 | Medicaid | MA |
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
- Credentials
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2295053 | MA | MD | Pediatric Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604534400000",
"number": "1457731382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 BESSOM ST",
"city": "MARBLEHEAD",
"state": "MA",
"postal_code": "019452329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 BESSOM ST",
"city": "MARBLEHEAD",
"state": "MA",
"postal_code": "019452329",
"telephone_number": "978-223-3872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSTRON",
"first_name": "ELIZABETH",
"middle_name": "KATHERINE",
"name_prefix": "Ms.",
"credential": "MSN, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-05",
"last_updated": "2020-11-05",
"certification_date": "2020-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatrics",
"state": "MA",
"license": "RN2295053",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1457731382-110159921",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marblehead, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.