Active NPI
Elizabeth A Phelps, NP
- General Practice Physician
- Antioch, CA
National Provider Identifier
1801970405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 428964
- Practice address
- 4501 Sand Creek Rd
Employee Health 3Rd FL
Antioch, CA 94531 - Phone
- (925) 813-6468
- NPI assigned
- Oct 24, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | 428964 | CA | |
| General Practice Physician | 208D00000X | 428964 | CA | Primary |
Addresses
Primary practice location
4501 Sand Creek Rd
Employee Health 3Rd FL
Antioch, CA 94531
Mailing address
4501 Sand Creek Rd
Employee Health 3Rd FL
Antioch, CA 94531
Phone (925) 813-6468
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 428964 | CA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1801970405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4501 SAND CREEK RD",
"address_2": "EMPLOYEE HEALTH 3RD FL",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "94531",
"telephone_number": "925-813-6468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4501 SAND CREEK RD",
"address_2": "EMPLOYEE HEALTH 3RD FL",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "94531",
"telephone_number": "925-813-6468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHELPS",
"first_name": "ELIZABETH",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-24",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "CA",
"license": "428964",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "428964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Antioch, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.