Individual provider Active NPI

Elizabeth Suzanne Pointer, NP

  • Family Nurse Practitioner
  • Snow Camp, NC
National Provider Identifier
1609132869
Registry record updated Jun 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5005581 Issued in NC
Practice address
7718 Sylvan Rd
Snow Camp, NC 27349-9504
Phone
(336) 506-0631
NPI assigned
Apr 2, 2012
Last updated
Jun 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5005581 NC Primary

Addresses

Primary practice location

7718 Sylvan Rd
Snow Camp, NC 27349-9504

Mailing address

104 Hidden Valley Dr
Chapel Hill, NC 27516-8949
Phone (919) 593-2073

Other names 1

  • Elizabeth Suzanne Shrader Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120828000823 NC Practitioner - Nurse Practitioner 2466609359 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

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, 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": "1333324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466553600000",
    "number": "1609132869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 HIDDEN VALLEY DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275168949",
            "telephone_number": "919-593-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7718 SYLVAN RD",
            "city": "SNOW CAMP",
            "state": "NC",
            "postal_code": "273499504",
            "telephone_number": "336-506-0631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POINTER",
        "first_name": "ELIZABETH",
        "middle_name": "SUZANNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-02",
        "last_updated": "2016-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5005581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "SHRADER",
            "middle_name": "SUZANNE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Snow Camp, NC

Sources for this page

Verify at the official NPI Registry.