Individual provider Active NPI

Elizabeth Anne Feucht, APRN

  • Adult Health Nurse Practitioner
  • Menlo Park, CA
National Provider Identifier
1649652843
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN.CNP.17476 Issued in OH
Practice address
4600 Bohannon Dr Ste 100
Menlo Park, CA 94025-1037
Phone
(209) 677-7468
NPI assigned
Jun 24, 2015
Last updated
Jan 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN.CNP.17476 OH Primary
Gerontology Nurse Practitioner 363LG0600X APRN.CNP.17476 OH

Addresses

Primary practice location

4600 Bohannon Dr Ste 100
Menlo Park, CA 94025-1037

Mailing address

8258 Gentry St NW
Massillon, OH 44646-8729
Phone (330) 524-2884

Other practice location 1

20000 Harvard Ave
Ste 300
Warrensville Heights, OH 44122-6805
Phone (261) 751-1212

Other names 1

  • Ms. Elizabeth Anne Hight Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, TX2 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
I20150715001688 OH Practitioner - Nurse Practitioner 2769795053 Reassigns benefits to 1 organization
I20250220000465 TX Practitioner - Nurse Practitioner 2769795053 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sprinter Medical West PC Multi-Specialty CurrentSince Dec 19, 2024 Accepting new patients
Rajesh Agarwal MD, LLC Multi-Specialty CurrentSince Jun 24, 2015 Accepting new patients

Locations

4600 Bohannon Dr
Ste 100
Menlo Park, CA 94025
Phone (925) 322-4455

20050 Harvard Ave
Ste 300
Warrensville Heights, OH 44122
Phone (216) 751-1212

5444 Westheimer Rd
Ste 1000
Houston, TX 77056
Phone (832) 786-4970

1100 NW Loop 410
Ste 700
San Antonio, TX 78213
Phone (210) 241-4954

Organizations & group practices 2

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": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1649652843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8258 GENTRY ST NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446468729",
            "telephone_number": "330-524-2884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 BOHANNON DR STE 100",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940251037",
            "telephone_number": "209-677-7468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20000 Harvard Ave",
            "address_2": "Ste 300",
            "address_purpose": "LOCATION",
            "city": "Warrensville Heights",
            "state": "OH",
            "postal_code": "441226805",
            "country_code": "US",
            "telephone_number": "261-751-1212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEUCHT",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-24",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "APRN.CNP.17476",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "APRN.CNP.17476",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "HIGHT",
            "middle_name": "ANNE",
            "prefix": "MS.",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Menlo Park, CA

Sources for this page

Verify at the official NPI Registry.