Individual provider Active NPI

Elizabeth Lum Huston, N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Greenville, NC
National Provider Identifier
1861554701
Registry record updated Jul 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5005415 Issued in NC
Practice address
2602 Courtier Dr
Greenville, NC 27834-7818
Phone
(252) 752-0483
Fax
(252) 757-3172
NPI assigned
Dec 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5005415 NC Primary
Family Nurse Practitioner 363LF0000X 5005415 NC

Addresses

Primary practice location

2602 Courtier Dr
Greenville, NC 27834-7818

Mailing address

547 Crestline Blvd
Greenville, NC 27834-6860
Phone (252) 531-4302

Other identifiers 2

IdentifierTypeStateIssuer
7006273MedicaidNC
561066387OtherNCBCBS

Other names 1

  • Dr. Elizabeth W Huston Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120822000227 NC Practitioner - Nurse Practitioner 8426205782 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Duke University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Dawn Psychiatric Services PLLCGroup PAC ID 6204159320, 7 clinicians
Easter Seals Ucp North Carolina and Virginia, Inc.Group PAC ID 7618161407, 49 clinicians

Practice addresses (Care Compare)

201 N Spence Ave
Goldsboro, NC 27534-4382
Phone (252) 686-8091

2602 Courtier Dr
Greenville, NC 27834-7818
Phone (252) 752-0483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5005415NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Easter Seals Ucp North Carolina & Virginia, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Port Health Services Current Accepting new patients
Port Health Services CurrentSince Sep 1, 2016 Accepting new patients
Easter Seals Ucp North Carolina & Virginia, Inc. Current Accepting new patients
New Dawn Psychiatric Services, PLLC CurrentSince Jan 1, 2022 Accepting new patients
Easter Seals Ucp North Carolina & Virginia, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Port Health Services CurrentSince Sep 1, 2016 Accepting new patients
Easter Seals Ucp North Carolina & Virginia, Inc. Past Accepting new patients
Anesthesia Services Associates, PLLC Past Accepting new patients

Locations

102 Medical Dr
Ste Ab
Elizabeth City, NC 27909
Phone (252) 335-0803

201 N Spence Ave
Goldsboro, NC 27534
Phone (252) 686-8091

2602 Courtier Dr
Greenville, NC 27834
Phone (252) 355-4725

4300 Sapphire Ct
Ste 110
Greenville, NC 27834
Phone (252) 830-7540

231 Memorial Dr
Ste Ab
Jacksonville, NC 28546
Phone (910) 353-5354

215 Memorial Dr
Bldg B
Jacksonville, NC 28546
Phone (910) 378-2498

111 Airport Rd
Kinston, NC 28501
Phone (252) 527-2390

5171 Glenwood Ave
Ste 211
Raleigh, NC 27612
Phone (919) 210-7661

Organizations & group practices 9

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": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720224000000",
    "number": "1861554701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 CRESTLINE BLVD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278346860",
            "telephone_number": "252-531-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 COURTIER DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347818",
            "telephone_number": "252-752-0483",
            "fax_number": "252-757-3172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSTON",
        "first_name": "ELIZABETH",
        "middle_name": "LUM",
        "name_prefix": "Dr.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2024-07-06",
        "certification_date": "2024-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5005415",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5005415",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7006273",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "561066387",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "HUSTON",
            "middle_name": "W",
            "prefix": "DR.",
            "credential": "N.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.