Active NPI
Elizabeth Phillips Nelson
- Driving and Community Mobility Occupational Therapist
- Winston Salem, NC
National Provider Identifier
1679747687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driving and Community Mobility Occupational Therapist
- License
- 446
- Practice address
- 425 Yates Rd
Winston Salem, NC 27106-4516 - Phone
- (877) 781-9565
- NPI assigned
- Apr 22, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driving and Community Mobility Occupational Therapist | 225XR0403X | 0446 | NC | |
| Driving and Community Mobility Occupational Therapist | 225XR0403X | 446 | NC | Primary |
Addresses
Primary practice location
425 Yates Rd
Winston Salem, NC 27106-4516
Mailing address
425 Yates Rd
Winston Salem, NC 27106-4516
Phone (336) 774-0074
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 446 | NC | MD | Podiatrist |
| 0446 | NC | MD | Driving and Community Mobility Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210550400000",
"number": "1679747687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 YATES RD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271064516",
"telephone_number": "336-774-0074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 YATES RD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271064516",
"telephone_number": "877-781-9565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "ELIZABETH",
"middle_name": "PHILLIPS",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-22",
"last_updated": "2008-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "225XR0403X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Driving and Community Mobility",
"state": "NC",
"license": "0446",
"primary": false
},
{
"code": "225XR0403X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Driving and Community Mobility",
"state": "NC",
"license": "446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.