Active NPI
Elizabeth Anne Block
- Psychiatric/Mental Health Nurse Practitioner
- Vallejo, CA
National Provider Identifier
1497545354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95034124
- Practice address
- 106 Shoal Dr W
Vallejo, CA 94591-6954 - Phone
- (616) 826-4636
- Fax
- (833) 222-8128
- NPI assigned
- May 12, 2025
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95034124 | CA | Primary |
Addresses
Primary practice location
106 Shoal Dr W
Vallejo, CA 94591-6954
Mailing address
106 Shoal Dr W
Vallejo, CA 94591-6954
Phone (616) 826-4636
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
| License | State | Type | Specialty |
|---|---|---|---|
| 95034124 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771977600000",
"number": "1497545354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 SHOAL DR W",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945916954",
"telephone_number": "616-826-4636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 SHOAL DR W",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945916954",
"telephone_number": "616-826-4636",
"fax_number": "833-222-8128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOCK",
"first_name": "ELIZABETH",
"middle_name": "ANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-12",
"last_updated": "2026-02-25",
"certification_date": "2026-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95034124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vallejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.