Individual provider Active NPI

Elizabeth Marie Macpherson, NURSING ASSISTANT

  • Peer Specialist
  • Vancouver, WA
National Provider Identifier
1518327899
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
CG61201501 Issued in WA
Practice address
11719 NE 95TH St Ste D
Vancouver, WA 98682-2444
Phone
(360) 397-8246
NPI assigned
Mar 1, 2016
Last updated
Aug 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X CG61201501 WA Primary

Addresses

Primary practice location

11719 NE 95TH St Ste D
Vancouver, WA 98682-2444

Mailing address

11719 NE 95TH St Ste D
Vancouver, WA 98682-2444
Phone (360) 397-8246

Other identifiers 1

IdentifierTypeStateIssuer
60618795OtherWANURSING ASSISTANT CERTIFICATION

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
CG61201501WAMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeline Connections Medical Services CurrentSince Aug 29, 2021 Accepting new patients
Lifeline Connections PastSince Aug 29, 2021 Accepting new patients

Locations

11719 NE 95th St
Ste D
Vancouver, WA 98682
Phone (360) 984-5511

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": "1456790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1518327899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11719 NE 95TH ST STE D",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986822444",
            "telephone_number": "360-397-8246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11719 NE 95TH ST STE D",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986822444",
            "telephone_number": "360-397-8246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACPHERSON",
        "first_name": "ELIZABETH",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "NURSING ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-01",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "WA",
            "license": "CG61201501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING ASSISTANT CERTIFICATION",
            "identifier": "60618795",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.