Active NPI
Elizabeth A Wedberg Sivam, RN, MSN, ACNS-BC
- Adult Health Clinical Nurse Specialist
- Austin, TX
National Provider Identifier
1497056113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Clinical Nurse Specialist
- License
- 747238
- Practice address
- 1600 W 38TH St Ste 200
Austin, TX 78731-6405 - Phone
- (512) 324-3540
- Fax
- (512) 324-3512
- NPI assigned
- Nov 11, 2010
- 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 |
|---|---|---|---|---|
| Adult Health Clinical Nurse Specialist | 364SA2200X | 747238 | TX | Primary |
Addresses
Primary practice location
1600 W 38TH St Ste 200
Austin, TX 78731-6405
Mailing address
1600 W 38TH St Ste 200
Austin, TX 78731-6405
Phone (512) 324-3540
Other names 1
- Elizabeth Wedberg
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist, Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 747238 | TX | MD | Adult Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seton Family of Doctors | Current | Accepting new patients | |
| Seton Family of Doctors | Current | Accepting new patients |
Locations
1600 W 38th St
Ste 200
Austin, TX 78731
Phone (512) 324-3580
1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300
4616 W Howard Ln
Austin, TX 78728
Phone (224) 558-8613
Interoperability endpoints
- elizabeth.wedberg.1@26349.direct.athenahealth.com
- elizabeth.wedbergsivam.1@8363.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Neurological Surgery Physician
- Austin, TX
- NPI 1588997233
-
- Radiology Clinic/Center
- Austin, TX
- NPI 1275290694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694131200000",
"number": "1497056113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 W 38TH ST STE 200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787316405",
"telephone_number": "512-324-3540",
"fax_number": "512-324-3512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 W 38TH ST STE 200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787316405",
"telephone_number": "512-324-3540",
"fax_number": "512-324-3512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEDBERG SIVAM",
"first_name": "ELIZABETH",
"middle_name": "A",
"credential": "RN, MSN, ACNS-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-11",
"last_updated": "2023-09-08",
"certification_date": "2023-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "364SA2200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Adult Health",
"state": "TX",
"license": "747238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "WEDBERG",
"credential": "RN, MSN, ACNS-BC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.