Individual provider Active NPI

Elizabeth Scheffer, CPNP

  • Nurse Practitioner
  • Kennesaw, GA
National Provider Identifier
1851596472
Registry record updated Oct 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0050-02931 Issued in NC
Practice address
2985 George Busbee Pkwy NW
Kennesaw, GA 30144-6812
Phone
(404) 785-8010
Fax
(404) 785-8090
NPI assigned
Jun 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0050-02931 NC Primary

Addresses

Primary practice location

2985 George Busbee Pkwy NW
Kennesaw, GA 30144-6812

Mailing address

2985 George Busbee Pkwy NW
Kennesaw, GA 30144-6812
Phone (404) 785-8010

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
Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0050-02931NCMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287532800000",
    "number": "1851596472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2985 GEORGE BUSBEE PKWY NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301446812",
            "telephone_number": "404-785-8010",
            "fax_number": "404-785-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2985 GEORGE BUSBEE PKWY NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301446812",
            "telephone_number": "404-785-8010",
            "fax_number": "404-785-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEFFER",
        "first_name": "ELIZABETH",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-15",
        "last_updated": "2010-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "0050-02931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; 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.