Individual provider Active NPI

Elizabeth Vonruden Domann, CRNP

  • Registered Nurse
  • Doylestown, PA
National Provider Identifier
1598863128
Registry record updated Apr 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
SP004654B Issued in PA
Practice address
1980 South Easton Road
Suite 230
Doylestown, PA 18901-2250
Phone
(215) 348-1310
Fax
(215) 348-8615
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X SP004654B PA Primary

Addresses

Primary practice location

1980 South Easton Road
Suite 230
Doylestown, PA 18901-2250

Mailing address

1980 S Easton Rd
Suite 230
Doylestown, PA 18901-7103
Phone (215) 348-1310

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

LicenseStateTypeSpecialty
SP004654BPAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Bucks County Medical Associates, P.C. PastSince Oct 27, 1997 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271289600000",
    "number": "1598863128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1980 S EASTON RD",
            "address_2": "SUITE 230",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189017103",
            "telephone_number": "215-348-1310",
            "fax_number": "215-348-8615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 SOUTH EASTON ROAD",
            "address_2": "SUITE 230",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012250",
            "telephone_number": "215-348-1310",
            "fax_number": "215-348-8615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMANN",
        "first_name": "ELIZABETH",
        "middle_name": "VONRUDEN",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2010-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "SP004654B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2010; 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.