Individual provider Active NPI

Elizabeth N Pratt, ARNP

  • Family Nurse Practitioner
  • Sioux City, IA
National Provider Identifier
1639134034
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A089315 Issued in IA
Practice address
1021 Nebraska St
Sioux City, IA 51105-1436
Phone
(712) 252-2477
Fax
(712) 252-5920
NPI assigned
Apr 19, 2006
Last updated
Jun 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A089315 IA Primary
Family Nurse Practitioner 363LF0000X 110700 NE

Addresses

Primary practice location

1021 Nebraska St
Sioux City, IA 51105-1436

Mailing address

814 Pierce St
Suite 300
Sioux City, IA 51101-1058
Phone (712) 226-2600

Other practice location 1

3250 Plaza Dr
South Sioux City, NE 68776-3144
Phone (402) 412-4220

Other practice location 2

3410 Futures Dr
South Sioux City, NE 68776-3917
Phone (402) 412-7242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040709001258 IA Practitioner - Nurse Practitioner 8820076417 Reassigns benefits to 1 organization
I20080222000452 NE Practitioner - Nurse Practitioner 8820076417 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A089315IAMDFamily Nurse Practitioner
110700NEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Siouxland Community Health Center CurrentSince Sep 3, 2019 Accepting new patients
Siouxland Community Health Center CurrentSince Sep 3, 2019 Accepting new patients
Family Health Care of Siouxland LLC Past Accepting new patients

Locations

1021 Nebraska St
Sioux City, IA 51105
Phone (712) 252-2477

3410 Futures Dr
South Sioux City, NE 68776
Phone (402) 412-7242

Interoperability endpoints

  • Direct secure messaging: epratt637199@direct.ochin.org

Organizations & group practices 3

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1639134034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 PIERCE ST",
            "address_2": "SUITE 300",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011058",
            "telephone_number": "712-226-2600",
            "fax_number": "712-226-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 NEBRASKA ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511051436",
            "telephone_number": "712-252-2477",
            "fax_number": "712-252-5920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3250 Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "South Sioux City",
            "state": "NE",
            "postal_code": "687763144",
            "country_code": "US",
            "telephone_number": "402-412-4220",
            "fax_number": "402-494-1365",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3410 Futures Dr",
            "address_purpose": "LOCATION",
            "city": "South Sioux City",
            "state": "NE",
            "postal_code": "687763917",
            "country_code": "US",
            "telephone_number": "402-412-7242",
            "fax_number": "712-252-5920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRATT",
        "first_name": "ELIZABETH",
        "middle_name": "N",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A089315",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "110700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

Verify at the official NPI Registry.