Individual provider Active NPI

Elizabeth Ryan Loflin, APRN

  • Pediatric Nurse Practitioner
  • Fort Mill, SC
National Provider Identifier
1477213577
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
31038 Issued in SC
Practice address
5529 Arden Mill Dr Ste 101
Fort Mill, SC 29715-6977
Phone
(828) 719-0936
NPI assigned
Dec 30, 2021
Last updated
Jan 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 31038 SC Primary

Addresses

Primary practice location

5529 Arden Mill Dr Ste 101
Fort Mill, SC 29715-6977

Mailing address

2161 Hawkins St Apt 1203
Charlotte, NC 28203-7054
Phone (828) 719-0936

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
31038SCMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Health Care Alliance, PA CurrentSince Jan 2, 2022 Accepting new patients
Bloom Pediatrics Walk in Clinic LLC Pediatrics PastSince Sep 28, 2025 Accepting new patients

Locations

10729 Queens Town Dr
Riverview, FL 33579
Phone (813) 672-3497

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1640822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1477213577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2161 HAWKINS ST APT 1203",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282037054",
            "telephone_number": "828-719-0936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5529 ARDEN MILL DR STE 101",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297156977",
            "telephone_number": "828-719-0936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOFLIN",
        "first_name": "ELIZABETH",
        "middle_name": "RYAN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-30",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "SC",
            "license": "31038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; 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.