Active NPI
Elizabeth Anne Sorensen, MD
- Family Medicine Physician
- Austin, TX
National Provider Identifier
1811937212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- P1412
- Practice address
- 3921 Steck Ave
Ste A110
Austin, TX 78759-8647 - Phone
- (512) 522-7520
- Fax
- (512) 298-0795
- NPI assigned
- Jun 7, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2005-01682 | NC | |
| Family Medicine Physician | 207Q00000X | P1412 | TX | Primary |
Addresses
Primary practice location
3921 Steck Ave
Ste A110
Austin, TX 78759-8647
Mailing address
8401 Shoal Creek Blvd # 200
Austin, TX 78757-7526
Phone (512) 522-7520
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2005-01682 | Other | NC | MEDICAL LICENSE |
| 5904722 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121112000427 | TX | Practitioner - Family Practice | 3375549769 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005-01682 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arbor Family Medicine, PLLC | Current | Accepting new patients | |
| Raleigh Durham Medical Group PA | Family Medicine | Past | Accepting new patients |
Locations
3921 Steck Ave
Ste A110
Austin, TX 78759
Phone (512) 476-9934
8401 Shoal Creek Blvd
#200
Austin, TX 78757
Phone (512) 522-7520
8705 Shoal Creek Blvd
Ste 113
Austin, TX 78757
Phone (512) 522-7520
Interoperability endpoints
- elizabeth.sorensen.2@8743.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Clinic/Center
- Austin, TX
- NPI 1063762458
-
- Family Medicine Physician
- Cary, NC
- NPI 1295784874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649030400000",
"number": "1811937212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8401 SHOAL CREEK BLVD # 200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787577526",
"telephone_number": "512-522-7520",
"fax_number": "512-298-0795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3921 STECK AVE",
"address_2": "STE A110",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787598647",
"telephone_number": "512-522-7520",
"fax_number": "512-298-0795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORENSEN",
"first_name": "ELIZABETH",
"middle_name": "ANNE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-07",
"last_updated": "2022-04-04",
"certification_date": "2022-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2005-01682",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "P1412",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "2005-01682",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5904722",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.