Individual provider Active NPI

Elizabeth Fair York, PHD, MT-BC

  • Contractor
  • Spartanburg, SC
National Provider Identifier
1740474717
Registry record updated Aug 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
04459 Issued in UT
Practice address
580 E Main St
Converse College
Spartanburg, SC 29302-1931
Phone
(864) 596-9166
Fax
(864) 596-9167
NPI assigned
Aug 31, 2007
Last updated
Aug 31, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 04459 UT Primary

Addresses

Primary practice location

580 E Main St
Converse College
Spartanburg, SC 29302-1931

Mailing address

580 E Main St
Converse College
Spartanburg, SC 29302-1931
Phone (864) 596-9166

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
04459UTMDContractor

NPI Registry JSON

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188518400000",
    "number": "1740474717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 E MAIN ST",
            "address_2": "CONVERSE COLLEGE",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293021931",
            "telephone_number": "864-596-9166",
            "fax_number": "864-596-9167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 E MAIN ST",
            "address_2": "CONVERSE COLLEGE",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293021931",
            "telephone_number": "864-596-9166",
            "fax_number": "864-596-9167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YORK",
        "first_name": "ELIZABETH",
        "middle_name": "FAIR",
        "name_prefix": "Dr.",
        "credential": "PHD, MT-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-31",
        "last_updated": "2007-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "UT",
            "license": "04459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.

Verify at the official NPI Registry.