Individual provider Active NPI

Elizabeth P Pierce, MD

  • Pediatrics Physician
  • Goodlettsville, TN
National Provider Identifier
1558356261
Registry record updated Feb 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
12376 Issued in TN
Practice address
807 Meadowlark LN
Goodlettsville, TN 37072-2307
Phone
(615) 859-6650
Fax
(615) 851-1983
NPI assigned
Sep 19, 2005
Last updated
Feb 1, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 12376 TN Primary

Addresses

Primary practice location

807 Meadowlark LN
Goodlettsville, TN 37072-2307

Mailing address

807 Meadowlark LN
Goodlettsville, TN 37072-2307
Phone (615) 859-6650

Other identifiers 1

IdentifierTypeStateIssuer
0026239OtherTNBCBS

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

LicenseStateTypeSpecialty
12376TNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rivergate Pediatrics PC Pediatrics Current Accepting new patients
Vanderbilt University Medical Center Pediatrics Past Accepting new patients

Locations

807 Meadowlark Ln
Goodlettsville, TN 37072
Phone (615) 859-6650

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": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296518400000",
    "number": "1558356261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 MEADOWLARK LN",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370722307",
            "telephone_number": "615-859-6650",
            "fax_number": "615-851-1983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 MEADOWLARK LN",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370722307",
            "telephone_number": "615-859-6650",
            "fax_number": "615-851-1983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "ELIZABETH",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-19",
        "last_updated": "2011-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "12376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0026239",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodlettsville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; 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.