Elizabeth-Ann Soccorso, APRN

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

129052 Issued in MA

Practice address

100 Powers St
Beverly, MA 01915-2748

Phone

(978) 922-3000

Fax

(978) 524-6072

NPI assigned

Sep 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: esoccorso32934@direct.bilh.masshiway.net

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.

• Beth Israel Lahey Health Specialty Care, Inc.

  • Internal Medicine Physician
  • Gloucester, MA
  • NPI 1235147760
  Medicare reassignment NPD
• Northeast Hospital Corp.

  • Diabetes Educator Registered Nurse
  • Danvers, MA
  • NPI 1588861231
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1528167665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 POWERS ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019152748",
            "telephone_number": "978-922-3000",
            "fax_number": "978-524-6072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 POWERS ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019152748",
            "telephone_number": "978-922-3000",
            "fax_number": "978-524-6072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOCCORSO",
        "first_name": "ELIZABETH-ANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "MA",
            "license": "129052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0300080",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Lynne Snyder-Mathews, M.S.
• Gregory Snyder, MD
• Jonathan R. Snyder, MD
• Michael Sobezenski
• Timothy Sobezenski
• Jeffrey Tyler Soderman, M.D.
• Szymon Sojka
• Solace Developmental Assessment & Therapy
• Sonali Healthcare Services, LLC
• Brian Song

• Adult Psychiatric/Mental Health Registered Nurse in Beverly, MA
• Providers in Beverly, MA by specialty
• Adult Psychiatric/Mental Health Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.

Verify at the official NPI Registry.