NPIMap

Individual provider Active NPI

Elizabeth H Pilicy, BA, BS, DC

  • Nutrition Chiropractor
  • Addison, TX
National Provider Identifier
1770735763
Registry record updated Mar 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
11413 Issued in TX
Practice address
14673 Midway Rd Ste 105
Addison, TX 75001-3950
Phone
(978) 846-1964
NPI assigned
Oct 21, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2019

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3209 MA
Chiropractor 111N00000X 11413 TX
Nutrition Chiropractor 111NN1001X 3209 MA
Pediatric Chiropractor 111NP0017X 11413 TX
Sports Physician Chiropractor 111NS0005X 3209 MA
Nutrition Chiropractor 111NN1001X 11413 TX Primary

Addresses

Primary practice location

14673 Midway Rd Ste 105
Addison, TX 75001-3950

Mailing address

14673 Midway Rd Ste 105
Addison, TX 75001-3950
Phone (978) 846-1964

Other identifiers 2

IdentifierTypeStateIssuer
11413OtherTXTEXAS STATE CHIROPRACTIC LICENSE NUMBER
3209OtherMAMA STATE CHIROPRACTIC LICENSE NUMBER

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)
Enrolled
Credentials
Bachelor of Arts, Bachelor of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton-Wenham Family Chiropractic Chiropractor PastSince Jul 1, 2008 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553817600000",
    "number": "1770735763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14673 MIDWAY RD STE 105",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013950",
            "telephone_number": "978-846-1964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14673 MIDWAY RD STE 105",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013950",
            "telephone_number": "978-846-1964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILICY",
        "first_name": "ELIZABETH",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "BA, BS, DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2019-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3209",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11413",
            "primary": false
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "MA",
            "license": "3209",
            "primary": false
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "TX",
            "license": "11413",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "MA",
            "license": "3209",
            "primary": false
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "TX",
            "license": "11413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE CHIROPRACTIC LICENSE NUMBER",
            "identifier": "11413",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA STATE CHIROPRACTIC LICENSE NUMBER",
            "identifier": "3209",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; 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.