Individual provider Active NPI

Elizabeth Claire Nurrenbern, PA

  • Physician Assistant
  • Owensboro, KY
National Provider Identifier
1700293222
Registry record updated Jul 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
TC289 Issued in KY
Practice address
2200 E Parrish Ave
BLDG D Suite 100
Owensboro, KY 42303-1449
Phone
(270) 688-1770
Fax
(270) 688-1781
NPI assigned
Jul 16, 2014
Last updated
Jul 16, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X TC289 KY Primary

Addresses

Primary practice location

2200 E Parrish Ave
BLDG D Suite 100
Owensboro, KY 42303-1449

Mailing address

2200 E Parrish Ave
BLDG D Suite 100
Owensboro, KY 42303-1449
Phone (270) 688-1770

Other names 1

  • Elizabeth Claire Reinitz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20141003001304 KY Practitioner - Physician Assistant 6002036951 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Neurosurgical Consultants LLP Physician Assistant Past Accepting new patients

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": "1405468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405468800000",
    "number": "1700293222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 E PARRISH AVE",
            "address_2": "BLDG D SUITE 100",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031449",
            "telephone_number": "270-688-1770",
            "fax_number": "270-688-1781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 E PARRISH AVE",
            "address_2": "BLDG D SUITE 100",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031449",
            "telephone_number": "270-688-1770",
            "fax_number": "270-688-1781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NURRENBERN",
        "first_name": "ELIZABETH",
        "middle_name": "CLAIRE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-16",
        "last_updated": "2014-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "TC289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "REINITZ",
            "middle_name": "CLAIRE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.