Active NPI
Elizabeth Bedgood, RN
- Registered Nurse
- Huntsville, AL
National Provider Identifier
1770084360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 1-076852
- Practice address
- 4040 Memorial Pkwy SW
Huntsville, AL 35802-4364 - Phone
- (256) 533-1970
- Fax
- (256) 705-6475
- NPI assigned
- Feb 28, 2018
- Last updated
- Feb 28, 2018
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1-076852 | AL | Primary |
Addresses
Primary practice location
4040 Memorial Pkwy SW
Huntsville, AL 35802-4364
Mailing address
18300 Willow CT
Citronelle, AL 36522-4878
Phone (251) 300-4093
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 330000014 | Medicaid | AL |
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-076852 | AL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519776000000",
"number": "1770084360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18300 WILLOW CT",
"city": "CITRONELLE",
"state": "AL",
"postal_code": "365224878",
"telephone_number": "251-300-4093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4040 MEMORIAL PKWY SW",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358024364",
"telephone_number": "256-533-1970",
"fax_number": "256-705-6475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEDGOOD",
"first_name": "ELIZABETH",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-28",
"last_updated": "2018-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AL",
"license": "1-076852",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "330000014",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Huntsville, AL
- Beautifully Broken Therapy Services LLC (Rhonda Marie Stalb LMFT)
- Susan R. Bechert, LICSW
- Alesia Beck, RN
- Alexis Beck
- Eric R Beck, M.D.
- Diego Jacinto Bedoya, M.D.
- Belle Elizabeth Moorer Bedwell, OT
- Bee Blessed Home Care LLC (Bee Blessed Transportation LLC)
- Bee Home Care LLC (Senior Helpers)
- Callie Victoria Beevers, WHNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.