Elizabeth S Plummer, RN BC GNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

AP3754 Issued in AZ

Practice address

500 N US Highway 89
Building 70, Room 131
Prescott, AZ 86313-5001

Phone

(928) 776-5461

Fax

(928) 776-6181

NPI assigned

Mar 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• E Sharon Plummer Professional name

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464048000000",
    "number": "1699734111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N US HIGHWAY 89",
            "address_2": "BUILDING 70, ROOM 131",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863135001",
            "telephone_number": "928-776-5461",
            "fax_number": "928-776-6181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N US HIGHWAY 89",
            "address_2": "BUILDING 70, ROOM 131",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863135001",
            "telephone_number": "928-776-5461",
            "fax_number": "928-776-6181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUMMER",
        "first_name": "ELIZABETH",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "RN BC GNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-22",
        "last_updated": "2016-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AZ",
            "license": "AP3754",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN168345",
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "AZ",
            "license": "22210572",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "E",
            "last_name": "PLUMMER",
            "middle_name": "SHARON",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sabrina Marie Placencia, CPHT
• Keith A Plamondon, PA-C
• Jeremy D. Platt, P.A.-C
• Danielle Renee Plaxton
• Richard Pleva, M.D.
• Renee Podraza, MA, LPC, LISAC
• Kayla Renee Pokrzywinski, APRN, FNP-C
• Suzann L Polk, APRN-BC
• Micaela Pommerening, PHARMD
• Mary M Poncel, M.D.

• Gerontology Nurse Practitioner in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Gerontology Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.