Active NPI
Elizabeth Nicholson, TLMLP
- Psychologist
- Riverton, KS
National Provider Identifier
1700919867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1011
- Practice address
- 6610 SE Quakervale Rd
Riverton, KS 66770-4185 - Phone
- (620) 848-2300
- Fax
- (620) 848-2301
- NPI assigned
- Mar 14, 2007
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1011 | KS | Primary |
Addresses
Primary practice location
6610 SE Quakervale Rd
Riverton, KS 66770-4185
Mailing address
PO Box 550
Riverton, KS 66770-0550
Phone (620) 848-2300
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 |
|---|---|---|---|
| 1011 | KS | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700919867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 550",
"city": "RIVERTON",
"state": "KS",
"postal_code": "667700550",
"telephone_number": "620-848-2300",
"fax_number": "920-848-2301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6610 SE QUAKERVALE RD",
"city": "RIVERTON",
"state": "KS",
"postal_code": "667704185",
"telephone_number": "620-848-2300",
"fax_number": "620-848-2301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLSON",
"first_name": "ELIZABETH",
"credential": "TLMLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "KS",
"license": "1011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverton, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.