Individual provider Active NPI

Elizabeth Isbister, M.D.

  • Allergy Physician
  • Harbinger, NC
National Provider Identifier
1477529378
Registry record updated Jul 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
99-00243 Issued in NC
Practice address
8845 Caratoke Highway
Suite 3
Harbinger, NC 27941
Phone
(252) 491-2245
NPI assigned
Feb 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 01055513 IN
Allergy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207KA0200X 99-00243 NC Primary

Addresses

Primary practice location

8845 Caratoke Highway
Suite 3
Harbinger, NC 27941

Mailing address

1134 N Road St Ste 2
Elizabeth City, NC 27909-3365
Phone (252) 335-2923

Other practice location 1

2224 S Croatan Hwy
Nags Head, NC 27959-8813
Phone (252) 715-6556

Other identifiers 2

IdentifierTypeStateIssuer
200358190MedicaidIN
000000600333OtherANTHEM

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01055513INMDAllergy & Immunology Physician
99-00243NCMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Asthma Allergy Care Centers PC Single Specialty PastSince Jan 1, 2006 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1477529378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 N ROAD ST STE 2",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093365",
            "telephone_number": "252-335-2923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8845 CARATOKE HIGHWAY",
            "address_2": "SUITE 3",
            "city": "HARBINGER",
            "state": "NC",
            "postal_code": "27941",
            "telephone_number": "252-491-2245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2224 S Croatan Hwy",
            "address_purpose": "LOCATION",
            "city": "Nags Head",
            "state": "NC",
            "postal_code": "279598813",
            "country_code": "US",
            "telephone_number": "252-715-6556",
            "fax_number": "252-715-6558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISBISTER",
        "first_name": "ELIZABETH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-28",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "IN",
            "license": "01055513",
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "NC",
            "license": "99-00243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200358190",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000600333",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.

Verify at the official NPI Registry.