Active NPI
Elizabeth De Falcon, MD
- Pediatrics Physician
- Williamsburg, VA
National Provider Identifier
1508850454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0101260630
- Practice address
- 119 Bulifants Blvd
Williamsburg, VA 23188-5747 - Phone
- (757) 564-7337
- NPI assigned
- Sep 7, 2005
- Last updated
- Nov 6, 2017
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0101260630 | VA | Primary |
Addresses
Primary practice location
119 Bulifants Blvd
Williamsburg, VA 23188-5747
Mailing address
119 Bulifants Blvd
Williamsburg, VA 23188-5747
Phone (757) 564-7337
Other names 1
- Elizabeth De Falcon
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101260630 | VA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509926400000",
"number": "1508850454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 BULIFANTS BLVD",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231885747",
"telephone_number": "757-564-7337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 BULIFANTS BLVD",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231885747",
"telephone_number": "757-564-7337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE FALCON",
"first_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-07",
"last_updated": "2017-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101260630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "DE FALCON",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Williamsburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.