Elizabeth Lopez

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

IMH11795 Issued in FL

Practice address

841 Jimmy Ann Dr
Daytona Beach, FL 32117-4583

Phone

(386) 425-3900

Fax

(386) 274-1561

NPI assigned

Nov 26, 2013

Last updated

Nov 26, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385424000000",
    "number": "1760812861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1293 SUNNINGDALE LN",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321741406",
            "telephone_number": "386-837-3250",
            "fax_number": "386-274-1561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 JIMMY ANN DR",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321174583",
            "telephone_number": "386-425-3900",
            "fax_number": "386-274-1561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-26",
        "last_updated": "2013-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "FL",
            "license": "IMH11795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Ann Loiselle, OTD, OTR/L
• David T Long
• Jaime Long
• Tracy Long, RN, BSN
• Yolandi Loots
• Ginger Lopez, RNFA
• Jeannie Lopez
• Liurka V Lopez, M.D.
• Maria I Lopez, M.D.
• Robert Lopez, M.D.

• Community Health Worker in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Community Health Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; 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.