Active NPI
Elizabeth C Bongiovanni, CRNP
- Family Nurse Practitioner
- York, PA
National Provider Identifier
1568844280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP014938
- Practice address
- 25 Monument Rd
Suite 260
York, PA 17403-5060 - Phone
- (717) 741-3449
- NPI assigned
- Jun 18, 2015
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN598846 | PA | |
| Family Nurse Practitioner | 363LF0000X | SP014938 | PA | Primary |
Addresses
Primary practice location
25 Monument Rd
Suite 260
York, PA 17403-5060
Mailing address
25 Monument Rd
Suite 260
York, PA 17403-5060
Phone (717) 741-3449
Other practice location 1
1703 Innovation Drive
Suite 3136
York, PA 17408-8815
Phone (717) 741-3449
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN598846 | PA | MD | Family Nurse Practitioner |
| SP014938 | PA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562889600000",
"number": "1568844280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 MONUMENT RD",
"address_2": "SUITE 260",
"city": "YORK",
"state": "PA",
"postal_code": "174035060",
"telephone_number": "717-741-3449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 MONUMENT RD",
"address_2": "SUITE 260",
"city": "YORK",
"state": "PA",
"postal_code": "174035060",
"telephone_number": "717-741-3449"
}
],
"practiceLocations": [
{
"address_1": "1703 Innovation Drive",
"address_2": "Suite 3136",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174088815",
"country_code": "US",
"telephone_number": "717-741-3449",
"fax_number": "717-741-5496",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BONGIOVANNI",
"first_name": "ELIZABETH",
"middle_name": "C",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-18",
"last_updated": "2019-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "RN598846",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP014938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.