Active NPI
Elizabeth Arlene Slavinskas, RN, FNP-BC
- Family Nurse Practitioner
- South Bend, IN
National Provider Identifier
1548623283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71006187A
- Practice address
- 211 N Eddy St
South Bend, IN 46617-2808 - Phone
- (574) 237-9231
- NPI assigned
- Mar 31, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | 28193462A | IN | |
| Family Nurse Practitioner | 363LF0000X | 71006187A | IN | Primary |
Addresses
Primary practice location
211 N Eddy St
South Bend, IN 46617-2808
Mailing address
22818 Old US 20
Elkhart, IN 46516-9150
Phone (574) 389-1231
Other practice location 1
22818 Old US 20
Elkhart, IN 46516-9150
Phone (574) 389-1231
Other names 1
- Mrs. Elizabeth Arlene Andrysiak
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28193462A | IN | MD | Emergency Registered Nurse |
Interoperability endpoints
- eslavinskas255237@dulyhealthandcare.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1548623283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22818 OLD US 20",
"city": "ELKHART",
"state": "IN",
"postal_code": "465169150",
"telephone_number": "574-389-1231",
"fax_number": "574-389-1232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 N EDDY ST",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466172808",
"telephone_number": "574-237-9231"
}
],
"practiceLocations": [
{
"address_1": "22818 Old US 20",
"address_purpose": "LOCATION",
"city": "Elkhart",
"state": "IN",
"postal_code": "465169150",
"country_code": "US",
"telephone_number": "574-389-1231",
"fax_number": "574-389-1232",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SLAVINSKAS",
"first_name": "ELIZABETH",
"middle_name": "ARLENE",
"name_prefix": "Mrs.",
"credential": "RN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-31",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "IN",
"license": "28193462A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71006187A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "ANDRYSIAK",
"middle_name": "ARLENE",
"prefix": "MRS.",
"credential": "RN, FNP-BC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in South Bend, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.