Active NPI
Elizabeth Ann Roeder-Kliemann, LVN
- Licensed Vocational Nurse
- Lewisville, TX
National Provider Identifier
1568106912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 126941
- Practice address
- 4400 State Highway 121
Lewisville, TX 75056-4561 - Phone
- (469) 834-6638
- NPI assigned
- Apr 22, 2022
- 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 |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 126941 | TX | Primary |
Addresses
Primary practice location
4400 State Highway 121
Lewisville, TX 75056-4561
Mailing address
4400 State Highway 121
Lewisville, TX 75056-4561
Phone (469) 834-6638
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
| License | State | Type | Specialty |
|---|---|---|---|
| 126941 | TX | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650585600000",
"number": "1568106912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 STATE HIGHWAY 121",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750564561",
"telephone_number": "469-834-6638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 STATE HIGHWAY 121",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750564561",
"telephone_number": "469-834-6638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROEDER-KLIEMANN",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"credential": "LVN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-22",
"last_updated": "2022-04-22",
"certification_date": "2022-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "TX",
"license": "126941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lewisville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.