Active NPI
Elizabeth Jordan Ali
- Pediatric Registered Nurse
- Kettering, OH
National Provider Identifier
1730093006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Registered Nurse
- License
- RN.452775
- Practice address
- 540 Lincoln Park Blvd
Kettering, OH 45429-6401 - Phone
- (937) 296-1126
- NPI assigned
- Oct 1, 2026
- Last updated
- Oct 1, 2026
- 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 |
|---|---|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | RN.452775 | OH | Primary |
Addresses
Primary practice location
540 Lincoln Park Blvd
Kettering, OH 45429-6401
Mailing address
2873 Macintosh LN Apt E
Maineville, OH 45039-9348
Phone (513) 659-6592
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790812800000",
"number": "1730093006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2873 MACINTOSH LN APT E",
"city": "MAINEVILLE",
"state": "OH",
"postal_code": "450399348",
"telephone_number": "513-659-6592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 LINCOLN PARK BLVD",
"city": "KETTERING",
"state": "OH",
"postal_code": "454296401",
"telephone_number": "937-296-1126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALI",
"first_name": "ELIZABETH",
"middle_name": "JORDAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-10-01",
"last_updated": "2026-10-01",
"certification_date": "2026-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatrics",
"state": "OH",
"license": "RN.452775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kettering, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.