Individual provider Active NPI

Elizabeth Anne Sorensen, MD

  • Family Medicine Physician
  • Austin, TX
National Provider Identifier
1811937212
Registry record updated Apr 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P1412 Issued in TX
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

Updated by the provider on Apr 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2005-01682OtherNCMEDICAL LICENSE
5904722MedicaidNC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121112000427 TX Practitioner - Family Practice 3375549769

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2005-01682NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arbor Family Medicine, PLLC CurrentSince Aug 24, 2012 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.