Elizabeth Mary Bostwick, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024172751 Issued in VA

Practice address

7611 Little River Tpke
108W
Annandale, VA 22003-2611

Phone

(703) 658-7060

NPI assigned

Feb 1, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Elizabeth Mary Olson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ebostwick37021@direct-guthrie.org

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.

• Nova Pediatrics

  • Pediatrics Physician
  • Woodbridge, VA
  • NPI 1033224340
  NPD (past)
• Trusted Doctors LLC

  • Pediatrics Physician
  • Fairfax, VA
  • NPI 1083793525
  NPD (past)

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445299200000",
    "number": "1669744033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7611 LITTLE RIVER TPKE",
            "address_2": "108W",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032611",
            "telephone_number": "703-658-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7611 LITTLE RIVER TPKE",
            "address_2": "108W",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032611",
            "telephone_number": "703-658-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSTWICK",
        "first_name": "ELIZABETH",
        "middle_name": "MARY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-01",
        "last_updated": "2015-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "33336913",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024172751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "OLSON",
            "middle_name": "MARY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Diane Bonilla, LPC
• Hugo A Bonilla, DDS, MS
• Amanda Boostrom, RDN
• Born Acupuncture
• Ana Maria Born, MD
• Said Boukercha, PHARMD
• Hillary Hite Bowen
• Mandy Bowen, L.C.S.W
• Jaclyn Olivia Boyce
• Cheryl Bragg

• Family Nurse Practitioner in Annandale, VA
• Providers in Annandale, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; 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.