Individual provider Active NPI

Elizabeth Lisa Fick, RN

  • Registered Nurse
  • Walterboro, SC
National Provider Identifier
1811278401
Registry record updated Sep 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
43601 Issued in SC
Practice address
109 Catawba Hill CT
Walterboro, SC 29488-7114
Phone
(843) 318-6837
NPI assigned
Sep 9, 2011
Last updated
Sep 9, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 43601 SC Primary
Registered Nurse 163W00000X 531200 CA

Addresses

Primary practice location

109 Catawba Hill CT
Walterboro, SC 29488-7114

Mailing address

109 Catawba Hill CT
Walterboro, SC 29488-7114

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

LicenseStateTypeSpecialty
531200CAMDRegistered Nurse
43601SCMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315526400000",
    "number": "1811278401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 CATAWBA HILL CT",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294887114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 CATAWBA HILL CT",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294887114",
            "telephone_number": "843-318-6837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FICK",
        "first_name": "ELIZABETH",
        "middle_name": "LISA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-09",
        "last_updated": "2011-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "43601",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "531200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walterboro, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; 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.