Elizabeth Nicole McCallister, RN, MSN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

68873 Issued in WV

Practice address

3738 Davis Stuart Rd
Lewisburg, WV 24901-9740

Phone

(540) 862-7064

Fax

(540) 862-5727

NPI assigned

Aug 17, 2010

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Physician Assistant, Registered Nurse

State licenses

Interoperability endpoints

• Direct secure messaging: elizabethmccallister@medooov.allscriptsdirect.net

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

{
    "created_epoch": "1282003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1578878211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 457",
            "city": "WHITE SULPHUR SPRINGS",
            "state": "WV",
            "postal_code": "249860457",
            "telephone_number": "304-536-5030",
            "fax_number": "304-536-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3738 DAVIS STUART RD",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249019740",
            "telephone_number": "540-862-7064",
            "fax_number": "540-862-5727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 N Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "WV",
            "postal_code": "249011177",
            "country_code": "US",
            "telephone_number": "304-645-3220",
            "fax_number": "304-645-4103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCALLISTER",
        "first_name": "ELIZABETH",
        "middle_name": "NICOLE",
        "credential": "RN, MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-17",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "68873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "002608991",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Lynn Mathis, D.O.
• Brent Matthew May, PA
• Jan Mayhew
• Anaya L Maynard
• Lisa Anne McBride, M.D.
• Melanie Anne McClain, P.T.
• Maureen McClellan
• Deborah June McClintic, LPC
• Ann W. McClung, PT
• Charles Scott McClung Sr., DO

• Family Nurse Practitioner in Lewisburg, WV
• Providers in Lewisburg, WV by specialty
• Family Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.

Verify at the official NPI Registry.